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Approach to Improving Safety
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STUDY
Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.
Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.
BOOK/REPORT
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
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].
NEWSPAPER/MAGAZINE ARTICLE
Lost surgical specimens, lost opportunities.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
COMMENTARY
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
STUDY
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.
REVIEW
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Ehrmeyer SS, Laessig RH. Clin Chem Lab Med. 2007;45:766-773.
COMMENTARY
Beyond the prescription: medication monitoring and adverse drug events in older adults.
Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE. J Am Geriatr Soc. 2011;59:1513-1520.
STUDY
Improving the discharge process by embedding a discharge facilitator in a resident team.
Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.
NEWSLETTER/JOURNAL
Laboratory Errors & Patient Safety.
Seattle, WA: Medical Training Solutions.
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.
STUDY
Management of test results in family medicine offices.
Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.
COMMENTARYclassic
Errors in laboratory medicine: practical lessons to improve patient safety.
Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.
NEWSPAPER/MAGAZINE ARTICLE
Five hospitals release data on inspections.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
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.
REVIEW
Identifying cross contaminants and specimen mix-ups in surgical pathology.
Hunt JL. Adv Anat Pathol. 2008;15:211-217.
STUDY
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.
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