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Cases & Commentaries
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Michael Astion, MD, PhD ; December 2006
A man admitted to the hospital for elective surgery has blood drawn. Despite a policy for proper identification, the blood samples were all mislabeled with another patient's name. The error was discovered at the lab, and there was no harm to the patient.
PA-PSRS Patient Saf Advis. September 2006;3:1, 5-10.
This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury.
Journal Article > Study
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.
Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.
This study demonstrated that laboratory-performed urinalyses were often inaccurate in comparison to those interpreted by nephrologists. The authors advocate for either greater training of this expertise among physicians or improved training among laboratory technicians to reduce the potential for diagnostic errors.