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Search results for "Missed or Critical Lab Results"
- Missed or Critical Lab Results
- Organizational Behaviorists
Journal Article > Study
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.
This quality improvement initiative used human factors approaches including failure mode and effect analysis, event review, and root cause analysis to successfully reduce the rate of specimen mislabeling in an inpatient setting. This study highlights the importance of re-examining longstanding work processes to augment safety.
Journal Article > Commentary
Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.
This article details specific principles for developing organizational policies to improve test-result communication.