The PSNet Collection

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

Responding to large-scale testing errors.

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Valenstein PN, Alpern GA, Keren DF. Am J Clin Pathol. 2010;133.

Using two case examples, this article analyzes the causes and consequences of laboratory testing errors. The authors also identify responsibilities after such instances occur.

Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories.

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Valenstein PN, Walsh MK, Stankovic AK. Arch Pathol Lab Med. 2008;132:206-10.

… despite the use of a computerized ordering system. … Valenstein PN, Walsh MK, Stankovic AK. Arch Pathol Lab Med . …

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

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Pathologists C of A, Valenstein PN, Raab SS, et al. Arch Pathol Lab Med. 2006;130:1106-1113.

The investigators analyzed information on misidentified laboratory specimens and found that such errors are common. Most errors are detected prior to results being communicated and are rarely associated with adverse patient incidents.

Identification errors in pathology and laboratory medicine.

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Valenstein PN, Sirota RL. Clin Lab Med. 2004;24:979-96, vii.

This article examines how identification errors are discovered, as well as frequency of their occurrence and ways to prevent them.

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