AHRQ Patient Safety Network

The Collection > Missed or Critical Lab Results

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Missed or Critical Lab Results

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (1)

•Europe (4)

•North America (53)

Resource Types

•Book/Report (1)

•Journal Article (54)

•Meeting/Conference (1)

•Newspaper/Magazine Article (4)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (16)

•Active Errors (17)

•Latent Errors (11)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (18)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (9)

•Communication Improvement (27)

•Human Factors Engineering (6)

•Teamwork (2)

•Specialization of Care (3)

•Logistical Approaches (47)

•Culture of Safety (2)

•Technologic Approaches (31)

•Education and Training (5)

Clinical Areas

•Medicine (50)

•Nursing (2)

•Pharmacy (2)

Target Audience

•Health Care Providers (49)

•Health Care Executives and Administrators (38)

•Non-Health Care Professionals (24)

•Patients (3)

Setting of Care

•Hospitals (24)

•Ambulatory Care (21)

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COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

TOOLKIT

Communicating Critical Test Results.

Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

STUDY

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.

Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009;24:1002-1006.

STUDY

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

Singh H, Thomas EJ, Mani S, et al. Arch Intern Med. 2009;169:1578-1586.

STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

REVIEW

Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.

Fischer SH, Tjia J, Field TS. J Am Med Inform Assoc. 2010;17:631-636.

STUDY

Management of test results in family medicine offices.

Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.

STUDY

Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.

Singh H, Wilson L, Petersen LA, et al. BMC Med Inform Decis Mak. 2009;9:49.

COMMENTARY

Eight recommendations for policies for communicating abnormal test results.

Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

COMMENTARY

Abnormal Volunteer Results

Fernandez CV. AHRQ WebM&M [serial online]. June 2007.

COMMENTARY

Lost in the Black Hole.

Wachter RM. AHRQ WebM&M [serial online]. October 2003.

STUDY

Measuring mobile patient safety information system success: an empirical study.

Jen WY, Chao CC. Int J Med Inform. 2008;77:689-697.

MEETING/CONFERENCE PROCEEDINGS

July 2011 Author in the Room Teleconference.

Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.

STUDY

Communication outcomes of critical imaging results in a computerized notification system.

Singh H, Arora HS, Vij MS, Rao R, Khan MM, Petersen LA. J Am Med Inform Assoc. 2007;14:459-466.

COMMENTARY

Incomplete care—on the trail of flaws in the system.

Gandhi TK, Zuccotti G, Lee TH. N Engl J Med. 2011;365:486-488.

STUDY

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Singh H, Thomas EJ, Sittig DF, et al. Am J Med. 2010;123:238-244.

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