Lost surgical specimens, lost opportunities.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
This article draws from the reporting system in Pennsylvania to discuss lost surgical pathology specimens and recommend a systems-oriented approach to improvement.
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When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Epner PL, Gans JE, Graber ML. BMJ Qual Saf. 2013;22(supp 2):6-10.
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
A 60-year-old man with delayed care for a renal mass.
Schiff GD. JAMA. 2011;305:1890-1898.
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Classifying laboratory incident reports to identify problems that jeopardize patient safety.
Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Am J Clin Pathol. 2003;120:18-26.
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