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- Discontinuities, Gaps, and Hand-Off Problems
- Missed or Critical Lab Results
- State Governments and Agencies
PA-PSRS Patient Saf Advis. September 2009;6:93-97.
This article reports on failures surrounding critical test results and describes mechanisms to standardize communication and reduce patient harm.
Tools/Toolkit > Toolkit
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.