IMPROVING YOUR LABORATORY
have had experiences in your office similar to the vignette below. A routine hemoglobin A1c, along with other tests, was ordered for a 55-year-old patient. The other tests came back, but the A1c test result (which was 9.7%) was much delayed and not attended to when it arrived. The clinician did not
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Improving Patient Safety Through Provider …
www.ahrq.govAnalysis of 421 communication events in the operating room found communication failures in approximately 30 percent of team exchanges; one-third of these jeopardized patient safety by
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