AHRQ Patient Safety Network

The Collection > Laboratory Result Tracking Improvement

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Safety Target

•Diagnostic Errors (19)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (61)

•Medication Safety (21)

•Medical Complications (4)

•Surgical Complications (5)

•Transfusion Complications (3)

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•Book/Report (1)

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•Special or Theme Issue (1)

•Tools/Toolkit (1)

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•Epidemiology of Errors and Adverse Events (17)

•Active Errors (22)

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Approach to Improving Safety
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Laboratory Result Tracking Improvement

Clinical Areas

•Medicine (73)

•Nursing (1)

•Pharmacy (6)

Target Audience

•Health Care Providers (65)

•Health Care Executives and Administrators (59)

•Non-Health Care Professionals (32)

•Patients (5)

Setting of Care

•Hospitals (37)

•Residential Facilities (1)

•Ambulatory Care (26)

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COMMENTARY

Lost in the Black Hole.

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

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.

COMMENTARY

Staggered Sensitivity Results

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

COMMENTARY

Urine a Tough Position.

Gandhi TK. AHRQ WebM&M [serial online]. October 2003.

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

Preventable Rash.

McLean C. AHRQ WebM&M [serial online]. March 2005.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals move to cut dangerous lab errors.

Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].

COMMENTARY

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

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

COMMENTARY

Right Patient, Wrong Sample

Astion M. AHRQ WebM&M [serial online]. December 2006.

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

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

Is the Admission Drug Dose Too Low?

Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

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

NEWSPAPER/MAGAZINE ARTICLE

Safe patient outcomes occur with timely, standardized communication of critical values.

PA-PSRS Patient Saf Advis. September 2009;6:93-97.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

COMMENTARY

Patient Safety: A Perspective from Office Practice.

Baron RJ. AHRQ WebM&M [serial online]. May 2009.

STUDY

Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.

Etchells E, Adhikari NKJ, Cheung C, et al. Qual Saf Health Care. 2010;19:99-102.

TOOLKIT

Communicating Critical Test Results.

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

NEWSPAPER/MAGAZINE ARTICLE

When data go AWOL: filling the clinical gaps.

Shaw G. ACP Observer. May 2005.

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