"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. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. J Patient Saf. 2014;10(1):20-8. doi:10.1097/PTS.0b013e3182a5f81a.
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.