Managing risk at the point-of-care: preventing errors.

Newspaper/Magazine Article

Managing risk at the point-of-care: preventing errors.

July 23, 2014

Njoroge S; Nichols JH.

View more articles from the same authors.

Highlighting how the disconnect between clinicians conducting point-of-care testing as a patient care action and laboratory staff performing the analysis of the test can affect detection of errors, this news article suggests quality control strategies to address risks related to monitoring, testing, and device use.

Free full text

Related Resources From the Same Author(s)

Patient Safety in Anesthetic Practice.

March 27, 2005

Assessment of a simulated case-based measurement of physician diagnostic performance.

January 23, 2019

The business case for patient safety.

February 14, 2007

Clinical alarms: improving efficiency and effectiveness.

November 9, 2005

Understanding care transitions as a patient safety issue.

June 29, 2011

Risks are high at low-volume hospitals.

June 17, 2015

Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.

May 21, 2008

Educational levels of hospital nurses and surgical patient mortality.

April 3, 2005

Building a Better Delivery System: A New Engineering/Health Care Partnership.

August 10, 2005

Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.

November 5, 2008

California hospitals make hundreds of errors every year, public is unaware.

December 3, 2014

Surgeon Scorecard.

July 22, 2015

Use of dimensional analysis to reduce medication errors.

March 15, 2006

Implementing a rapid response team: a practical guide.

March 26, 2008

Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.

May 27, 2015

Medication Overload: America's Other Drug Problem.

June 19, 2019

Acting on Concerns: Your Professional Responsibility.

March 6, 2013

The costs associated with adverse drug events among older adults in the ambulatory setting.

December 7, 2005

Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.

April 3, 2005

Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.

March 22, 2006

Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).

September 16, 2015

The application of system dynamics modelling to system safety improvement: present use and future potential.

September 19, 2018

WebM&M Cases

The Unhappy Patient Leaves Against Medical Advice.

October 27, 2022

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.

November 7, 2007

Developing an adverse event reporting system using administrative data.

March 19, 2008

Ability of practitioners to identify solid oral dosage tablets.

May 24, 2006

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

June 21, 2006

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

September 7, 2005

Safety in EMS.

December 21, 2011

Do HSMRs really measure patient safety?

August 13, 2008

Patient safety outcomes under flexible and standard resident duty-hour rules.

March 13, 2019

To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.

February 10, 2010

Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system.

February 15, 2006

Teamwork and Communication.

July 7, 2010

Hospital Medication Errors Commonplace.

August 23, 2006

Patient Safety: An Old and New Issue.

August 22, 2007

Computerized provider order entry: strategies for successful implementation.

June 28, 2006

No excuses: the reality that demands action.

September 1, 2005

Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches.

November 1, 2023

Human costs of training doctors.

August 11, 2010

Patient Safety Primers

Maternal Safety

January 31, 2024

Patient Safety Primers

Simulation Training

March 1, 2023

Patient Safety Primers

Debriefing for Clinical Learning

November 18, 2021

Improving medication safety in the ICU: the pharmacist's role.

May 16, 2007

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Assessment of programs aimed to decrease or prevent mistreatment of medical trainees.

August 8, 2018

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system.

June 5, 2019

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.

April 12, 2023

Delayed time to defibrillation after in-hospital cardiac arrest.

January 16, 2008

Structured override reasons for drug–drug interaction alerts in electronic health records.

May 15, 2019

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

Nursing student errors and near misses: three years of data.

February 22, 2023

Changes in prognosis after the first postoperative complication.

April 3, 2005

A systems approach to morbidity and mortality conference.

July 28, 2010

Patient safety: Part I. Patient safety and the dermatologist.

August 19, 2009

Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives.

July 21, 2021

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Racism in pain medicine: we can and should do more.

July 14, 2021

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.

October 16, 2019

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

July 22, 2015

The State of the Science on Safe Medication Administration.

April 15, 2005

Patient-Centered Care Improvement Guide.

November 12, 2008

Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.

June 27, 2018

Leadership Survey: Immunization Against Burnout: Insights Report.

May 9, 2018

Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method.

August 30, 2006

Adverse Events in Hospitals: Public Disclosure of Information About Events.

January 20, 2010

The Role of Human Factors in Home Health Care: Workshop Summary.

November 10, 2010

Safety Culture: Theory, Method and Improvement.

March 31, 2010

Prone to error: earliest steps to find cancer.

July 28, 2010

Josie's Story.

September 23, 2009

Reducing diagnostic errors.

October 19, 2016

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

Future directions for diagnostic decision support.

April 27, 2016

Fatal mistakes.

March 30, 2016

Medical misdiagnoses put pressure on patients to stay engaged.

September 21, 2016

Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine.

June 29, 2016

EHRs in the ER: as doctors adapt, concerns emerge about medical errors.

March 9, 2016

Snowball in a Blizzard: A Physician's Notes on Uncertainty in Medicine.

March 30, 2016

Drug shortages forcing hard decisions on rationing treatments.

February 10, 2016

Bring back the autopsy.

March 16, 2016

Service members are left in dark on health errors.

April 29, 2015

Second Victim: Error, Guilt, Trauma, and Resilience.

May 22, 2013

Medical errors harm huge number of patients. What will it take to make America's hospitals safer?

September 12, 2012

Is the FDA to blame for drug shortages?

August 8, 2012

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.

August 1, 2012

Monday Mornings.

April 11, 2012

Patient Safety: A Human Factors Approach.

October 5, 2011

Surgical checklists save lives—but once in a while, they don't. Why?

May 23, 2018

How DeKalb Medical fixed drug safety problems after fatal error.

May 9, 2018

My human doctor.

October 17, 2018

Medical misdiagnosis: more common than you think.

November 15, 2017

The opioid crisis: can improving diagnosis help solve the problem?

April 19, 2017

Rethinking Patient Safety.

May 24, 2017

Living with cancer: not talking about medical mistakes.

November 12, 2014

Looking to the future of patient safety.

August 27, 2014

Related Resources

WebM&M Cases

Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient.

January 4, 2024

WebM&M Cases

Delay in Malignancy Diagnosis Reflects Systemic Failures

October 31, 2023

The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis.

October 25, 2023

The delivery of safe and effective test result communication, management and follow-up.

September 27, 2023

Intraoperative communications between pathologists and surgeons: do we understand each other?

September 6, 2023

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

WebM&M Cases

Critical Echocardiogram Result Lost to Follow-up.

June 14, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

WebM&M Cases

False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.

October 27, 2022

Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology.

October 5, 2022

WebM&M Cases

Delayed Diagnosis of Mesenteric Ischemia

August 31, 2022

Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system.

May 4, 2022

Technology-based closed-loop tracking for improving communication and follow-up of pathology results.

February 2, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

January 11, 2022

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.

December 22, 2021

Reducing surgical specimen errors through multidisciplinary quality improvement.

June 16, 2021

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.

May 26, 2021

COVID-19: making the right diagnosis.

August 5, 2020

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

WebM&M Cases

Out of Sight, Out of Mind: Out-of-Office Test Result Management

May 1, 2018

The need for closed-loop systems for management of abnormal test results.

April 25, 2018

Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review.

March 14, 2018

A systematic review of interventions to follow-up test results pending at discharge.

February 7, 2018

WebM&M Cases

A Costly Colonoscopy Leads to a Delay in Diagnosis

January 1, 2018

Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.

November 29, 2017

WebM&M Cases

Delayed Diagnosis of Endocrinologic Emergencies

November 1, 2017

WebM&M Cases

Specimen Almost Lost

November 1, 2017

Curing our diagnostic disorder.

October 25, 2017

See More About The Topic

Hospitals

Health Care Providers

Pathology and Laboratory Medicine

Missed or Critical Lab Results

Active Errors