Laboratory Result Tracking Improvement
PATIENT SAFETY PRIMERS
Diagnostic Errors (19)
Identification Errors (16)
Discontinuities, Gaps, and Hand-Off Problems (62)
Medication Safety (22)
Medical Complications (4)
Surgical Complications (5)
Transfusion Complications (4)
Psychological and Social Complications (1)
Australia and New Zealand (1)
North America (77)
Journal Article (72)
Newspaper/Magazine Article (9)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (16)
Active Errors (21)
Latent Errors (12)
Near Miss (2)
Approach to Improving Safety
Laboratory Result Tracking Improvement
Health Care Providers (64)
Health Care Executives and Administrators (57)
Non-Health Care Professionals (31)
Setting of Care
Residential Facilities (1)
Ambulatory Care (26)
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Patient safety and error reduction in surgical pathology.
Nakhleh RE. Arch Pathol Lab Med. 2008;132:181-185.
Medical errors arising from outsourcing laboratory and radiology services.
Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.
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.
Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.
Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.
Errors in laboratory medicine: practical lessons to improve patient safety.
Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.
Laboratory Errors & Patient Safety.
Seattle, WA: Medical Training Solutions.
Follow-up tips for a safe, efficient practice.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
The safety implications of missed test results for hospitalised patients: a systematic review.
Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.
Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital.
Hayden RT, Patterson DJ, Jay DW, et al. J Pediatr. 2008;152:219-224.
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.
Identifying cross contaminants and specimen mix-ups in surgical pathology.
Hunt JL. Adv Anat Pathol. 2008;15:211-217.
Putting power into patient safety: interventions.
Astion M. Laboratory Errors & Patient Safety. May-June 2005;1:5-8.
The value of inking breast cores to reduce specimen mix-up.
Renshaw AA, Kish R, Gould EW. Am J Clin Pathol. February 2007;127:1-2.
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.
Communicating Critical Test Results.
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
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.
Outpatient adverse drug events identified by screening electronic health records.
Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.
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.
Lost surgical specimens, lost opportunities.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
Entire UPMC transplant team missed hepatitis alert.
Hamill SD. Pittsburgh Post-Gazette. July 10, 2011:A6.
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