Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Stephen S. Raab; Carey Andrew-JaJa; Jennifer L Condel; David J Dabbs

Study

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

January 18, 2006

Raab SS, Andrew-JaJa C, Condel JL, et al. Am J Obstet Gynecol. 2006;194(1).

View more articles from the same authors.

This study demonstrated improved outcomes with implementation of an office redesign in workflow based on Toyota production systems methods.

PubMed citation

Available at

Related Resources From the Same Author(s)

Dissemination of Lean methods to improve Pap testing quality and patient safety.

April 8, 2008

Quality in cancer diagnosis.

May 26, 2010

Assessment of latent factors contributing to error: addressing surgical pathology error wisely.

November 16, 2011

Directed peer review in surgical pathology.

September 1, 2012

Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.

April 15, 2005

Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement.

February 1, 2012

The current and ideal state of anatomic pathology patient safety.

July 30, 2014

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out?

November 7, 2007

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

September 1, 2012

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).

December 3, 2014

Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.

August 16, 2006

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.

November 12, 2008

Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.

October 25, 2006

Database construction for improving patient safety by examining pathology errors.

September 28, 2005

Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives.

March 6, 2005

Effectiveness of random and focused review in detecting surgical pathology error.

January 14, 2009

Anatomic pathology databases and patient safety.

October 19, 2005

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?

August 6, 2014

Training in quality and safety: the current landscape.

August 27, 2014

Errors in thyroid gland fine-needle aspiration.

May 31, 2006

Association of household opioid availability and prescription opioid initiation among household members.

January 10, 2018

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Adverse events in healthcare: learning from mistakes.

September 3, 2014

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

October 26, 2005

Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula.

March 19, 2014

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

February 17, 2010

Measuring the cost of hospital adverse patient safety events.

November 10, 2010

A comprehensive obstetric patient safety program reduces liability claims and payments.

June 25, 2014

Cause and effect analysis of closed claims in obstetrics and gynecology.

May 18, 2005

Hospital quality and patient safety competencies: development, description, and recommendations for use.

January 30, 2005

Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center.

September 6, 2023

A systematic review of simulation for multidisciplinary team training in operating rooms.

February 13, 2013

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.

June 17, 2015

Online medication error graphic reports: a pilot in North Carolina nursing homes.

June 15, 2011

Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.

April 19, 2023

Narrativizing nursing students' experiences with medical errors during clinicals.

December 2, 2015

Reflection and analysis of how pharmacy students learn to communicate about medication errors.

June 24, 2009

"It's not our ass": medical resident sense-making regarding lawsuits.

July 19, 2006

Impact of a comprehensive patient safety strategy on obstetric adverse events.

March 18, 2009

US emergency department visits attributed to medication harms, 2017-2019.

October 20, 2021

Influence of language barriers on outcomes of hospital care for general medicine inpatients.

July 7, 2010

Frequency and outcome of cervical cancer prevention failures in the United States.

December 19, 2007

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

July 19, 2006

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

July 13, 2011

Patient safety climate: a study of Southern California healthcare organizations.

September 5, 2018

Getting the board on board: engaging hospital boards in quality and patient safety.

March 29, 2006

The perinatal safety nurse: exemplar of transformational leadership.

July 27, 2011

Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system.

August 29, 2007

A comprehensive obstetrics patient safety program improves safety climate and culture.

April 20, 2011

Voluntary incident reporting by anaesthetic trainees in an Australian hospital.

November 15, 2006

A system-wide hospital child maltreatment patient safety program.

September 8, 2021

Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012.

June 6, 2018

Information transfer in multidisciplinary operating room teams: a simulation-based observational study.

May 18, 2016

Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.

February 5, 2014

Health information technology and patient safety: evidence from panel data.

March 25, 2009

Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.

November 14, 2018

Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.

February 23, 2022

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.

June 26, 2019

Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications.

August 24, 2016

Barbers of civility.

August 3, 2011

Implementing human factors in clinical practice.

April 9, 2014

Pharmacy student knowledge and communication of medication errors.

July 14, 2010

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

January 11, 2012

Risk factors for adverse events in patients with breast, colorectal, and lung cancer.

May 23, 2018

Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.

September 6, 2017

Performance of a trigger tool for identifying adverse events in oncology.

July 19, 2017

Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.

August 1, 2007

Association of measured quality with financial health among U.S. hospitals.

May 4, 2022

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.

October 28, 2009

To do no harm - and the most good - with AI in health care.

March 13, 2024

Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers.

May 18, 2022

I-CaRe: a case review tool focused on improving inpatient care.

February 4, 2009

Label design affects medication safety in an operating room crisis: a controlled simulation study.

April 1, 2015

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.

August 22, 2018

Digital health and patient safety.

April 27, 2016

Communication errors in radiology—pitfalls and how to avoid them.

August 1, 2018

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

Patient Safety in Anaesthesiology: Patient Safety Starter Kit.

January 22, 2014

Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.

February 23, 2011

Adoption of order entry with decision support for chronic care by physician organizations.

July 18, 2007

Medical errors arising from outsourcing laboratory and radiology services.

September 19, 2007

Parents as partners in obtaining the medication history.

June 29, 2005

Communication factors in the follow-up of abnormal mammograms.

March 6, 2005

Health professional networks as a vector for improving healthcare quality and safety: a systematic review.

January 11, 2012

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.

February 3, 2016

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.

June 17, 2015

Medication reconciliation in a rural trauma population.

December 3, 2008

Crew resource management improved perception of patient safety in the operating room.

January 6, 2010

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

Emergency department crowding and risk of preventable medical errors.

May 16, 2012

The economics of health care quality and medical errors.

November 14, 2012

The association between culture, climate and quality of care in primary health care teams.

July 11, 2007

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Primary care collaboration to improve diagnosis and screening for colorectal cancer.

May 3, 2017

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.

November 5, 2008

The effect of collaboration on obstetric patient safety in three academic facilities.

December 4, 2013

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery.

October 4, 2017

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

Delays in care during the COVID-19 pandemic in the Veterans Health Administration.

May 3, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Annual Perspective

Patient Safety in the Ambulatory Care Setting

August 5, 2022

Bringing the clinical laboratory into the strategy to advance diagnostic excellence.

September 22, 2021

A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist.

October 14, 2020

Variation in electronic test results management and its implications for patient safety: a multisite investigation.

August 19, 2020

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

Error Reduction and Prevention in Surgical Pathology, Second Edition.

August 28, 2019

Implementation and evaluation of a laboratory safety process improvement toolkit.

May 22, 2019

Building an ambulatory safety program at an academic health system.

May 15, 2019

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

May 1, 2019

Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care.

May 1, 2019

Reducing diagnostic errors worldwide through diagnostic management teams.

April 3, 2019

Measuring the rate of manual transcription error in outpatient point-of-care testing.

March 13, 2019

Blood sampling guidelines with focus on patient safety and identification—a review.

October 31, 2018

Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.

October 24, 2018

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.

October 24, 2018

Incident learning in radiation oncology: a review.

August 15, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Association of a web-based handoff tool with rates of medical errors.

August 17, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

The forgotten tourniquet—an update.

March 13, 2016

Test result communication in primary care: a survey of current practice.

August 19, 2015

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

March 25, 2015

Incidents resulting from staff leaving normal duties to attend medical emergency team calls.

November 12, 2014

Project BOOST implementation: lessons learned.

September 10, 2014

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

See More About The Topic

Clinical Technologists

Physicians

Nurses

Health Care Executives and Administrators

Gynecology

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site