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Search results for "Pathology & Laboratory Medicine"
- Pathology & Laboratory Medicine
Cases & Commentaries
- Web M&M
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.
Tools/Toolkit > Toolkit
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
Journal Article > Commentary
Cahill TJ, Clarke SC, Simpson IA, Stables RH. Heart. 2015;101:91-93.
Drawing from the success of the WHO surgical safety checklist initiative, this commentary describes the development of a checklist created to improve the reliability of core invasive cardiac procedures such as diagnostic angiography. The authors discuss the role of nurses in introducing the checklist and the use of team briefings to reduce the risk of communication errors. An example of the checklist tested is included.
Journal Article > Study
Quillen K, Murphy K. Arch Pathol Lab Med. 2006;130:1196-1198.
The authors collected data on specimen mislabeling and implemented an intervention to provide timely feedback to emergency department staff, after which major mislabeling decreased from 47% to 14%.