Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)132[1617:SLEAQA]2.0.CO;2. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 12, 2008 Wagar EA, Stankovic AK, Raab SS, et al. Arch Pathol Lab Med. 2008;132(10):1617-22. View more articles from the same authors. Laboratories with ongoing quality monitoring programs had a lower incidence of specimen labeling errors, as did institutions that provided around-the-clock phlebotomy services. PubMed citation Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)132[1617:SLEAQA]2.0.CO;2. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. April 15, 2005 Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. March 12, 2008 Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. August 16, 2006 Patient safety and error reduction in surgical pathology. February 20, 2008 Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. June 17, 2015 Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. September 14, 2011 Recommendations for quality assurance and improvement in surgical and autopsy pathology. August 9, 2006 Quality in cancer diagnosis. May 26, 2010 Assessment of latent factors contributing to error: addressing surgical pathology error wisely. November 16, 2011 Directed peer review in surgical pathology. September 1, 2012 Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 1, 2012 The effect of collaboration on obstetric patient safety in three academic facilities. December 4, 2013 Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. November 15, 2006 The current and ideal state of anatomic pathology patient safety. July 30, 2014 Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? November 7, 2007 Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. January 18, 2006 Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. October 26, 2005 Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. October 25, 2006 Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. October 26, 2011 Effectiveness of random and focused review in detecting surgical pathology error. January 14, 2009 The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 How to avoid paediatric medication errors: a user's guide to the literature. July 6, 2005 Understanding and learning from organisational failure. March 6, 2005 When things go wrong: how health care organizations deal with major failures. March 6, 2005 Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 Anatomic pathology databases and patient safety. October 19, 2005 Nurse decision making in the prearrest period. January 6, 2010 Errors in thyroid gland fine-needle aspiration. May 31, 2006 A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. April 25, 2007 Frequency and outcome of cervical cancer prevention failures in the United States. December 19, 2007 The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. July 19, 2006 Database construction for improving patient safety by examining pathology errors. September 28, 2005 Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. March 6, 2005 A comprehensive obstetric patient safety program reduces liability claims and payments. June 25, 2014 ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. October 28, 2009 Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Impact of a comprehensive patient safety strategy on obstetric adverse events. March 18, 2009 On the prospects for a blame-free medical culture. November 4, 2009 Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. October 8, 2014 Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. July 18, 2007 The perinatal safety nurse: exemplar of transformational leadership. July 27, 2011 Parents' perceptions of medical errors. June 16, 2010 A comprehensive obstetrics patient safety program improves safety climate and culture. April 20, 2011 Mandating limits on workload, duty, and speed in radiology. July 6, 2022 Using patient safety indicators to estimate the impact of potential adverse events on outcomes. January 30, 2008 Bullying of junior doctors prevails in Irish health system: a bitter reality. December 7, 2005 A national patient safety curriculum in pediatric emergency medicine. November 13, 2019 Electronic health records and adverse drug events after patient transfer. December 8, 2010 An educational and audit tool to reduce prescribing error in intensive care. October 29, 2008 Physician Quality Officer: a new model for engaging physicians in quality improvement. June 24, 2009 Dissemination of Lean methods to improve Pap testing quality and patient safety. April 8, 2008 Effect of day of the week on short- and long-term mortality after emergency general surgery. April 5, 2017 Surveillance: a strategy for improving patient safety in acute and critical care units. April 18, 2012 Errors and nonadherence in pediatric oral chemotherapy use. September 21, 2016 Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019 Preventing health care–associated harm in children. May 14, 2014 Potential medical adverse events associated with death: a forensic pathology perspective. January 6, 2010 Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. March 15, 2017 Bar-code verification: reducing but not eliminating medication errors. December 12, 2012 An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. September 6, 2006 Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. January 4, 2021 Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. January 7, 2015 The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021 Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? August 26, 2015 The hidden risk of wheelchair use. September 28, 2022 Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. September 29, 2010 Medical errors arising from outsourcing laboratory and radiology services. September 19, 2007 Parents as partners in obtaining the medication history. June 29, 2005 Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. April 21, 2005 Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. October 22, 2008 Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019 Pediatric obesity and safety in inpatient settings: a systematic literature review. May 21, 2014 Diagnostic errors: impact of an educational intervention on pediatric primary care. November 8, 2017 Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013 Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. April 12, 2017 Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. June 1, 2016 A spotlight on strategies for increasing safety reporting in nursing education. January 4, 2012 Systemic error in radiology. August 9, 2017 Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. November 5, 2008 Hospital complications: linking payment reduction to preventability. May 6, 2009 Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Work hours regulations for house staff in psychiatry: bad or good for residency training? March 26, 2008 Residual anaesthesia drugs in intravenous lines—a silent threat? July 17, 2013 Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. November 7, 2012 Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. July 27, 2022 Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020 Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020 Emergency department crowding and risk of preventable medical errors. May 16, 2012 Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. June 20, 2018 Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019 Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 The relationships among work stress, strain and self-reported errors in UK community pharmacy. March 19, 2014 Human patient simulation: teaching students to provide safe care. September 26, 2007 The impact of primary care providers' bias on depression screening for lesbian women. August 2, 2023 Perinatal clinical decision support system: a documentation tool for patient safety. October 10, 2007 Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017 Resilience in healthcare and clinical handover. August 12, 2009 Factors influencing incident reporting in surgical care. April 22, 2009 View More Related Resources 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 Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023 Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. May 31, 2023 Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. May 3, 2023 Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. November 30, 2022 Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022 Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 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 Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. April 6, 2022 The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. October 20, 2021 Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. December 23, 2020 Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. November 18, 2020 The impact of the use of employee functional flexibility on patient safety. November 18, 2020 Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). April 29, 2020 WebM&M Cases Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 WebM&M Cases “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Nurses' sleep, work hours, and patient care quality, and safety January 22, 2020 Association of primary care clinic appointment time with opioid prescribing. September 11, 2019 Association of overlapping surgery with perioperative outcomes. March 6, 2019 Implementation of a colour-coded universal protocol safety initiative in Guatemala. August 8, 2018 Do trainees feel that they belong to a team? July 19, 2017 Is there a 'weekend effect' in major trauma? February 15, 2017 Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016 Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. September 7, 2016 Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. November 11, 2015 Overreaction. November 4, 2015 View More See More About The Topic Pathology and Laboratory Medicine Identification Errors Epidemiology of Errors and Adverse Events Quality Improvement Strategies Scheduling Changes
Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. March 12, 2008
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. August 16, 2006
Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. June 17, 2015
Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. September 14, 2011
Recommendations for quality assurance and improvement in surgical and autopsy pathology. August 9, 2006
Assessment of latent factors contributing to error: addressing surgical pathology error wisely. November 16, 2011
Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 1, 2012
The effect of collaboration on obstetric patient safety in three academic facilities. December 4, 2013
Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. November 15, 2006
Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? November 7, 2007
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. January 18, 2006
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. October 25, 2006
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. October 26, 2011
The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014
A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. April 25, 2007
The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. July 19, 2006
Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. March 6, 2005
A comprehensive obstetric patient safety program reduces liability claims and payments. June 25, 2014
ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. October 28, 2009
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. October 8, 2014
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. July 18, 2007
A comprehensive obstetrics patient safety program improves safety climate and culture. April 20, 2011
Using patient safety indicators to estimate the impact of potential adverse events on outcomes. January 30, 2008
Effect of day of the week on short- and long-term mortality after emergency general surgery. April 5, 2017
Surveillance: a strategy for improving patient safety in acute and critical care units. April 18, 2012
Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019
Potential medical adverse events associated with death: a forensic pathology perspective. January 6, 2010
Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. March 15, 2017
An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. September 6, 2006
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. January 4, 2021
Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. January 7, 2015
The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021
Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? August 26, 2015
Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. September 29, 2010
Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. April 21, 2005
Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. October 22, 2008
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019
Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. April 12, 2017
Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. June 1, 2016
Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. November 5, 2008
Work hours regulations for house staff in psychiatry: bad or good for residency training? March 26, 2008
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. November 7, 2012
Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. July 27, 2022
Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020
Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020
Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017
Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. June 20, 2018
Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019
The relationships among work stress, strain and self-reported errors in UK community pharmacy. March 19, 2014
Perinatal clinical decision support system: a documentation tool for patient safety. October 10, 2007
Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017
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
Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023
Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. May 31, 2023
Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. May 3, 2023
Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. November 30, 2022
Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022
Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022
Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 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
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022
Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. April 6, 2022
The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. October 20, 2021
Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. December 23, 2020
Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. November 18, 2020
Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). April 29, 2020
WebM&M Cases “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020
Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016
Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016
Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. November 11, 2015