Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.
Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-300. doi:10.1043/1543-2165-133.8.1297.
A new labeling process, devised after performance of a root cause analysis, reduced specimen identification errors in a pathology laboratory.