AHRQ Patient Safety Network

The Collection > Missed or Critical Lab Results

Narrow By

clear selections

Safety Target
< All

Missed or Critical Lab Results

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (1)

•Europe (4)

•North America (71)

Resource Types

•Book/Report (2)

•Journal Article (66)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (7)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (25)

•Active Errors (24)

•Latent Errors (13)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (20)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (14)

•Communication Improvement (31)

•Human Factors Engineering (7)

•Teamwork (2)

•Specialization of Care (3)

•Logistical Approaches (48)

•Culture of Safety (4)

•Technologic Approaches (34)

•Education and Training (7)

Clinical Areas

•Medicine (68)

•Nursing (2)

•Pharmacy (2)

Target Audience

•Health Care Providers (59)

•Health Care Executives and Administrators (47)

•Non-Health Care Professionals (28)

•Patients (6)

Setting of Care

•Hospitals (32)

•Ambulatory Care (23)

1 - 20 of 81

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Patient safety concerns arising from test results that return after hospital discharge.

Roy CL, Poon EG, Karson AS, et al. Ann Intern Med. 2005;143:121-128.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

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

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.

STUDY

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.

Poon EG, Gandhi TK, Sequist TD, Murff HJ, Karson AS, Bates DW. Arch Intern Med. 2004;164:2223-2228.

REVIEW

Patient safety and error reduction in surgical pathology.

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

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

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.

STUDY

Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety.

Kim JK, Dotson B, Thomas S, Nelson KC. J Am Acad Dermatol. 2013;68:53-56.

STUDY

Management of test results in family medicine offices.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:181–182.

STUDY

Missing clinical information during primary care visits.

Smith PC, Araya-Guerra R, Bublitz C, et al. JAMA. 2005;293:565-571.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #546: tracking and reminder systems.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2012;120:1535-1537.

STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

TOOLKIT

Communicating Critical Test Results.

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

COMMENTARY

Staggered Sensitivity Results

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

STUDY

Communicating critical test results: safe practice recommendations.

Hanna D, Griswold P, Leape L, Bates DW. Jt Comm J Qual Patient Saf. 2005;31:68-80.

STUDY

Real-time automated paging and decision support for critical laboratory abnormalities.

Etchells E, Adhikari NK, Wu R, et al. BMJ Qual Saf. 2011;20:924-930.

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.

COMMENTARY

Fumbled handoffs: one dropped ball after another.

Gandhi TK. Ann Intern Med. 2005;142:352-358.

COMMENTARY

Ten strategies to improve management of abnormal test result alerts in the electronic health record.

Singh H, Wilson L, Reis B, Sawhney MK, Espadas D, Sittig DF. J Patient Saf. 2010;6:121-123.

1 2 3 4 5 Next >