AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (59)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (46)

•Medication Safety (14)

•Medical Complications (4)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (5)

•Transfusion Complications (11)

•Psychological and Social Complications (7)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (4)

•Central and South America (2)

•Europe (20)

•North America (114)

Resource Types

•Book/Report (5)

•Journal Article (128)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (7)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (46)

•Active Errors (39)

•Latent Errors (16)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (48)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (52)

•Communication Improvement (29)

•Human Factors Engineering (16)

•Teamwork (1)

•Specialization of Care (3)

•Logistical Approaches (39)

•Culture of Safety (5)

•Technologic Approaches (33)

•Education and Training (16)

Clinical Areas
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Pathology & Laboratory Medicine

Target Audience

•Health Care Providers (113)

•Health Care Executives and Administrators (93)

•Non-Health Care Professionals (31)

•Patients (6)

Setting of Care

•Hospitals (38)

•Ambulatory Care (16)

•Outpatient Surgery (1)

1 - 20 of 150

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REVIEW

Failure to follow-up test results for ambulatory patients: a systematic review.

Callen JL, Westbrook JI, Georgiou A, Li J. J Gen Intern Med. 2012;27:1334-1348.

REVIEW

The safety implications of missed test results for hospitalised patients: a systematic review.

Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.

STUDY

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Singh H, Thomas EJ, Sittig DF, et al. Am J Med. 2010;123:238-244.

STUDY

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.

Matheny ME, Sequist TD, Seger AC, et al. J Am Med Inform Assoc. 2008;15:424-429.

STUDY

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

Raab SS, Grzybicki DM, Janosky JE, et al. Cancer. 2005;104:2205-2213.

COMMENTARY classic

Errors in laboratory medicine: practical lessons to improve patient safety.

Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.

STUDY

The attributes of medical event reporting systems.

Battles JB, Kaplan HS, Van der Scaaf TW, Shea CE. Arch Pathol Lab Med. 1998;1222:231-238.

REVIEW

Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.

Shojania KG, Burton EC, McDonald KM, Goldman L. JAMA. 2003;289:2849-2856.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses.

Aldrich R, Finlayson P, Hill K, Sullivan M. Int J Qual Health Care. 2012;24:135-143.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

STUDY

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.

Snydman LK, Harubin B, Kumar S, Chen J, Lopez RE, Salem DN. Am J Med Qual. 2012;27:147-153.

REVIEW

Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.

Fischer SH, Tjia J, Field TS. J Am Med Inform Assoc. 2010;17:631-636.

STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

STUDY

The impact of clinically undiagnosed injuries on survival estimates.

Gedeborg R, Thiblin I, Byberg L, Wernroth L, Michaëlsson K. Crit Care Med. 2009;37:449-455.

STUDY

Frequency and outcome of cervical cancer prevention failures in the United States.

Raab SS, Grzybicki DM, Zarbo RJ, et al. Am J Clin Pathol. 2007;128:817-824.

STUDY

The frequency of missed test results and associated treatment delays in a highly computerized health system.

Wahls TL, Cram PM. BMC Fam Pract. 2007;8:32.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

CT for suspected appendicitis in children: an analysis of diagnostic errors.

Taylor GA, Callahan MJ, Rodriguez D, Smink DS. Pediatr Radiol. 2006;36:331-337.

STUDY

Anatomic pathology databases and patient safety.

Raab SS, Grzybicki DM, Zarbo RJ, Meier FA, Geyer SJ, Jensen C. Arch Pathol Lab Med. 2005;129:1246-1251.

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