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PSNet: Patient Safety Network
Journal Article
Study

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

Singh R, Hickner J, Mold J, et al. Journal of patient safety. 2014;10:20-8.

Unreliable test result management systems and failure to follow-up on abnormal test results are common issues in ambulatory care. Using a modified failure mode and effect analysis methodology, this study sought to prospectively identify safety hazards in the laboratory testing process in primary care clinics.