AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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Safety Target

•Diagnostic Errors (52)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (39)

•Medication Safety (11)

•Medical Complications (3)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (5)

•Transfusion Complications (8)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (2)

•Central and South America (2)

•Europe (10)

•North America (104)

Resource Types

•Book/Report (3)

•Journal Article (106)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (7)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (39)

•Active Errors (29)

•Latent Errors (9)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (40)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (44)

•Communication Improvement (20)

•Human Factors Engineering (15)

•Specialization of Care (3)

•Logistical Approaches (35)

•Culture of Safety (3)

•Technologic Approaches (26)

•Education and Training (12)

Clinical Areas
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Pathology & Laboratory Medicine

Target Audience

•Health Care Providers (95)

•Health Care Executives and Administrators (81)

•Non-Health Care Professionals (23)

•Patients (5)

Setting of Care

•Hospitals (29)

•Ambulatory Care (12)

•Outpatient Surgery (1)

1 - 20 of 126

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STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

REVIEW

Measuring errors in surgical pathology in real-life practice: defining what does and does not matter.

Renshaw AA, Gould EW. Am J Clin Path. 2007;127:144-152.

REVIEW

Patient safety and error reduction in surgical pathology.

Nakhleh RE. Arch Pathol Lab Med. 2008;132:181-185.

NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

Weiss GG. Med Econ. May 19, 2006; 83:47-49.

COMMENTARY

Database construction for improving patient safety by examining pathology errors.

Grzybicki DM, Turcsanyi B, Becich MJ, Gupta D, Gilbertson JR, Raab SS. Am J Clin Pathol. 2005;124:500-509.

STUDY

Finding blunders in thyroid testing: experience in newborns.

Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

STUDY

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

Raab SS, Meier FA, Zarbo RJ, et al. J Clin Oncol. 2006;24:2808-2814.

STUDY

CT for suspected appendicitis in children: an analysis of diagnostic errors.

Taylor GA, Callahan MJ, Rodriguez D, Smink DS. Pediatr Radiol. 2006;36:331-337.

STUDY

Errors in thyroid gland fine-needle aspiration.

Raab SS, Vrbin CM, Grzybicki DM, et al. Am J Clin Pathol. 2006;125:873-882.

SPECIAL OR THEME ISSUE

Special Section—Association of Directors of Anatomic and Surgical Pathology Symposium.

Arch Pathol Lab Med. 2006;130:602-649.

REVIEW

The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.

Kornstein MJ, Byrne SP. Arch Pathol Lab Med. 2007;131:615-618.

STUDY

Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors.

Wagar EA, Tamashiro L, Yasin B, Hilborne L, Bruckner DA. Arch Pathol Lab Med. 2006;130:1662-1668.

STUDY

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Am J Clin Pathol. 2003;120:18-26.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

MULTI-USE WEBSITE

The Final Check: Say it Out Loud.

Plano, TX: Outcome Engenuity; July 2012.

STUDY

Decoding laboratory test names: a major challenge to appropriate patient care.

Passiment E, Meisel JL, Fontanesi J, Fritsma G, Aleryani S, Marques M. J Gen Intern Med. 2013;28:453-458.

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