Narrow Results Clear All
Search results for ""
Journal Article > Study
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.
Raab SS, Andrew-Jaja C, Condel JL, Dabbs DJ. Am J Obstet Gynecol. 2006;194:57-64.
This study demonstrated improved outcomes with implementation of an office redesign in workflow based on Toyota production systems methods.
Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
This government report investigated certain laboratory tests conducted from 1997 to 2005 in Newfoundland and Labrador. The investigation revealed test result errors and failure to notify patients, as well as a lack of oversight. The report makes numerous recommendations with respect to ethics, standards of care, and disclosure of medical errors and adverse events. (Click on the volume titles on the cover page to view the full report.)
Journal Article > Commentary
Desai S, Fiumara K, Kachalia A. J Patient Saf. 2019 Apr 18; [Epub ahead of print].
Outpatient safety is gaining recognition as a focus of research and improvement efforts. This project report describes an ambulatory safety program at an academic health system that targeted reporting, safety culture measurement, medication safety, and test result management. Repeated tracking over a 5-year period revealed that failure to request feedback played a role in the modest incident and concern reporting captured by the program. Decentralizing reporting response responsibilities throughout the system significantly increased feedback activity.