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

Suja S. Rajan; Jessica Baldwin; Traber D. Giardina; Hardeep Singh

Study

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

February 2, 2022

Rajan SS, Baldwin J, Giardina TD, et al. J Patient Saf. 2022;18(1):e262-e266.

View more articles from the same authors.

Radiofrequency identification (RFID) technology has been most commonly used in perioperative settings to improve patient safety. This study explored whether RFID technology can improve process measures in laboratory settings, such as order tracking, specimen processing, and test result communication. Findings indicate that RFID-tracked orders were more likely to have completed testing process milestones and were completed more quickly.

PubMed citation

Available at

Related Resources From the Same Author(s)

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations.

June 22, 2022

Patient perspectives on the usefulness of an artificial intelligence-assisted symptom checker: cross-sectional survey study.

March 11, 2020

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

March 3, 2021

Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.

November 10, 2021

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

April 13, 2022

Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise.

April 5, 2023

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.

February 22, 2023

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Patient perceptions of receiving test results via online portals: a mixed-methods study.

January 17, 2018

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.

January 18, 2023

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.

January 1, 2022

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.

June 15, 2022

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.

October 26, 2022

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

Usability and accessibility of publicly available patient safety databases.

June 1, 2022

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Collaborative case review: a systems-based approach to patient safety event investigation and analysis.

March 30, 2022

Healing our own: a randomized trial to assess benefits of peer support.

February 2, 2022

Characteristics of critical incident reporting systems in primary care: an international survey.

January 19, 2022

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

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

May 4, 2022

Defining and measuring diagnostic uncertainty in medicine: a systematic review.

October 18, 2017

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.

December 21, 2022

Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study.

September 7, 2022

Health care provider factors associated with patient-reported adverse events and harm.

May 20, 2020

Association between physician burnout and self-reported errors: meta-analysis.

January 26, 2022

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice.

March 16, 2022

Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings.

December 16, 2020

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Advancing diagnostic safety research: results of a systematic research priority setting exercise.

February 24, 2021

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.

April 20, 2022

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients.

August 24, 2022

Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being.

June 8, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.

July 27, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

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

September 27, 2023

The patient perspective on errors in cancer care: results of a cross-sectional survey.

December 1, 2019

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

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

May 18, 2005

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study.

February 16, 2022

Emotion and coping in the aftermath of medical error: a cross-country exploration.

March 4, 2015

Building nursing intellectual capital for safe use of information technology: a systematic review.

February 9, 2011

Pediatric clinician perspectives on communicating diagnostic uncertainty.

August 7, 2019

Types and origins of diagnostic errors in primary care settings.

March 6, 2013

Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study.

January 24, 2018

Diagnostic error in mental health: a review.

April 24, 2024

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Pediatric trainee perspectives on the decision to disclose medical errors.

March 30, 2022

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.

July 27, 2022

Patient safety and legal regulations: a total-scale analysis of the scientific literature.

October 19, 2022

A safe practice standard for barcode technology.

June 3, 2015

Safety huddles to proactively identify and address electronic health record safety.

January 25, 2017

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

June 6, 2012

Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.

August 21, 2013

Electronic health record-based surveillance of diagnostic errors in primary care.

November 2, 2011

What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.

December 14, 2022

Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research.

November 2, 2022

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.

June 22, 2022

Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.

April 13, 2022

Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review.

December 8, 2021

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.

November 7, 2018

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

The impact of adverse events on clinicians: what's in a name?

November 22, 2017

A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital.

April 27, 2022

A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.

November 9, 2022

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.

March 9, 2022

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Related Resources

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.

February 7, 2024

Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.

November 1, 2023

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

Implementing patient safety and quality improvement in dermatology.

October 4, 2023

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.

October 4, 2023

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

September 27, 2023

WebM&M Cases

Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.

July 31, 2023

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

June 21, 2023

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

May 3, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin.

August 17, 2022

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites.

August 3, 2022

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

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

May 4, 2022

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Systems engineering analysis of diagnostic referral closed-loop processes.

March 9, 2022

When no news is bad news: improving diagnostic testing communication through patient engagement.

March 9, 2022

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

September 22, 2021

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.

September 22, 2021

Patient safety in dermatology: a ten-year update.

June 23, 2021

Machine learning is booming in medicine. It’s also facing a credibility crisis.

June 16, 2021

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

May 26, 2021

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color.

August 5, 2020

Human-computer collaboration for skin cancer recognition.

July 22, 2020

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study.

April 1, 2020

See More About The Topic

Ambulatory Clinic or Office

Quality and Safety Professionals

Information Professionals

Dermatology

Pathology and Laboratory Medicine

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

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

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