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Plano, TX: Outcome Engenuity; July 2012.
This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just culture concepts.
Patient Safety Essentials for Laboratory Professionals Certificate Program.
Washington, DC: American Association for Clinical Chemistry.
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital.
Seferian EG, Jamal S, Clark K, et al. BMJ Qual Saf. 2014;23:690-697.
Syndromic surveillance for health information system failures: a feasibility study.
Ong MS, Magrabi F, Coiera E. J Am Med Inform Assoc. 2013;20:506-512.
Last orders: follow-up of tests ordered on the day of hospital discharge.
Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.
Eight recommendations for policies for communicating abnormal test results.
Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
Clinical impact associated with corrected results in clinical microbiology testing.
Yuan S, Astion ML, Schapiro J, Limaye AP. J Clin Microbiol. 2005;43:2188-2193.
Communicating Critical Test Results.
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
The impact of health information technology on the management and follow-up of test results—a systematic review.
Georgiou A, Li J, Thomas J, Dahm MR, Westbrook JI, J Amer Med Inform Assoc. 2019;26:678-688.
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.
Neily J, Soncrant C, Mills PD, et al. JAMA Network Open. 2018;1:e185147.
Check your medical records for dangerous errors.
Graham J. Kaiser Health News. November 21, 2018.
The effect of a clinical decision support for pending laboratory results at emergency department discharge.
Driver BE, Scharber SK, Fagerstrom ET, Klein LR, Cole JB, Dhaliwal RS. J Emerg Med. 2019;56:109-113.
Blood sampling guidelines with focus on patient safety and identification—a review.
Cornes M, Ibarz M, Ivanov H, Grankvist K. Diagnosis (Berl). 2019;6:33-38.
Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.
Ai A, Desai S, Shellman A, Wright A. Jt Comm J Qual Patient Saf. 2018;44:674-682.
Abdominal Aortic Aneurysm Screening
Jeffrey Jim, MD, MPHS
The need for closed-loop systems for management of abnormal test results.
Zuccotti G, Samal L, Maloney FL, Ai A, Wright A. Ann Intern Med. 2018;168:820-821.
Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review.
Whitehead NS, Williams L, Meleth S, et al. J Hosp Med. 2018;13:631-636.
Implementation of a colour-coded universal protocol safety initiative in Guatemala.
Taicher BM, Tew S, Figueroa L, Hernandez F, Ross SS, Rice HE. BMJ Qual Saf. 2018;27:593-599.
A systematic review of interventions to follow-up test results pending at discharge.
Darragh PJ, Bodley T, Orchanian-Cheff A, Shojania KG, Kwan JL, Cram P. J Gen Intern Med. 2018;33:750-758.
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement.
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
Back to basics: the Universal Protocol.
Spruce L. AORN J. 2018;107:116-125.
Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.
Murphy DR, Meyer AND, Vaghani V, et al. J Am Coll Radiol. 2018;15:287-295.
Focus On: Health Care Policy and Quality.
AJR Am J Roentgenol. 2017;209:965-1008;W333-W334.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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