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

American Journal of Medical Quality

Volumn 27, Issue 2, 2012, Pages 147-153

  Snydman, Laura K ^a   Harubin, Beth ^a   Kumar, Sanjaya ^b   Chen, Jack ^b   Lopez, Robert E ^a   Salem, Deeb N ^a  

^a TUFTS MEDICAL CENTER   (United States)

^b Quantros Inc   (United States)

Author keywords

laboratory errors; laboratory events; medical errors; quality events

Indexed keywords

ARTICLE; CLASSIFICATION; CROSS-SECTIONAL STUDY; HOSPITAL LABORATORY; HUMAN; LABORATORY DIAGNOSIS; MEDICAL ERROR; PATIENT SAFETY; STANDARD; STATISTICS; UNITED STATES; VOLUNTARY PROGRAM;

CROSS-SECTIONAL STUDIES; HUMANS; LABORATORIES, HOSPITAL; MEDICAL ERRORS; PATIENT SAFETY; SPECIMEN HANDLING; UNITED STATES; VOLUNTARY PROGRAMS;

EID: 84863250018     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860611413567     Document Type: Article

References (17)

1. Pauker SG,Zane EM,Salem DN.Creating a safer health care system.JAMA. 2005;294:2906-2908.
2. To Err Is Human: Building a Safer Health System. Kohn LTCorrigan JMDonaldson MS, ed. Washington, DC: National Academies Press; 1999:.
3. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2000:.
4. Monahan C.IOM report on medical errors: CLMA members speak out.Clin Leadersh Manag Rev. 2001;15:203-204.
5. Bologna LJ,Lind C,Riggs RC.Reducing major identification errors within a deployed phlebotomy process.Clin Leadersh Manag Rev. 2002;16:22-26.
6. Howanitz PJ.Errors in laboratory medicine.Arch Pathol Lab Med. 2005;129:1252-1261.
7. Matlow AG,Berte LM.Sources of error in laboratory medicine.Lab Med. 2004;35:331-334.
8. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 1. Assessment. Henriksen KBattles JBKeyes MAGrady ML, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008:.
9. Bonini P,Plebani M,Ceriotti F,Rubboli F.Errors in laboratory medicine.Clin Chem. 2002;48:691-698.
10. Milch CE,Salem SN,Pauker SG,Lundquist TG,Kumar S,Chen J.Voluntary electronic reporting of medical errors and adverse events: an analysis of 92,547 reports from 26 acute care hospitals.J Gen Intern Med. 2006;21:1-6.
11. Astion ML,Shojania KG,Hamill TR,Kim S,Ng VL.Classifying laboratory incident reports to identify problems that jeopardize patient safety.Am J Clin Pathol. 2003;120:18-26.
12. Valenstein PN,Raab SS,Walsh MK.Identification errors involving clinical laboratories.Arch Pathol Lab Med. 2006;130:1106-1113.
13. Simpson JB.A unique approach for reducing specimen labeling errors: combining marketing techniques with performance improvement.Clin Leadersh Manag Rev. 2001;15:401-405.
14. Howanitz PJ,Walker K,Bachner P.Quantification of errors in laboratory reports: a quality improvement study of the College of American Pathologists' Q-probes program.Arch Pathol Lab Med. 1992;116:694-700.
15. Leape LL.Reporting of adverse events.N Engl J Med. 2002;347:1633-1638.
16. Howanitz PJ,Renner SW,Walsh MK.Continuous wristband monitoring over 2 years decreases identification errors.Arch Pathol Lab Med. 2002;126:809-815.
17. Howanitz PJ,Steindel SJ,Heard NV.Laboratory critical values policies and procedures.Arch Pathol Lab Med. 2002;126:663-669.