AHRQ Patient Safety Network

The Collection > Laboratory Result Tracking Improvement

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Safety Target

•Diagnostic Errors (18)

•Identification Errors (14)

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

•Medication Safety (21)

•Medical Complications (4)

•Surgical Complications (5)

•Transfusion Complications (4)

•Psychological and Social Complications (1)

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•Asia (2)

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•Book/Report (1)

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•Special or Theme Issue (1)

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Error Types

•Epidemiology of Errors and Adverse Events (16)

•Active Errors (22)

•Latent Errors (13)

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Approach to Improving Safety
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Laboratory Result Tracking Improvement

Clinical Areas

•Medicine (70)

•Nursing (2)

•Pharmacy (6)

Target Audience

•Health Care Providers (62)

•Health Care Executives and Administrators (56)

•Non-Health Care Professionals (31)

•Patients (4)

Setting of Care

•Hospitals (38)

•Residential Facilities (1)

•Ambulatory Care (25)

•Outpatient Surgery (1)

1 - 20 of 85

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STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

COMMENTARY

Lost in the Black Hole.

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

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

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.

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

Preventable Rash.

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

COMMENTARY

The Result Stopped Here.

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

STUDY

The frequency of missed test results and associated treatment delays in a highly computerized health system.

Wahls TL, Cram PM. BMC Fam Pract. 2007;8:32.

COMMENTARY

Patient Safety: A Perspective from Office Practice.

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

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

STUDY

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

Hickner J, Graham DG, Elder NC, et al. Qual Saf Health Care. 2008;17:194-200.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

GRANT RECIPIENT

AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.

Rockville, MD: Agency for Healthcare Research and Quality; October 2008.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

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

STUDY

Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.

Graham DG, Harris DM, Elder NC, et al. Qual Saf Health Care. 2008;17:201-208.

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

Patient Safety in the Physician Office Setting

Elder NC. AHRQ WebM&M [serial online]. May 2006.

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.

NEWSPAPER/MAGAZINE ARTICLE

When data go AWOL: filling the clinical gaps.

Shaw G. ACP Observer. May 2005.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

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

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