Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health care setting

References

• Forsman RW, . Why is the laboratory an afterthought for managed care organizations?. Clin Chem. 1996; 42:813–6.
   PubMed Web of Science ®Google Scholar
• Zaat JO, Schellevis FG, van Eijk JT, van der Velden K, . Do out-of-office laboratory tests affect diagnoses in general practice?. Scand J Prim Health Care. 1995; 13:46–51.
   PubMed Web of Science ®Google Scholar
• Kalra J, . Medical errors: impact on clinical laboratories and other critical areas. Clin Biochem. 2004; 37:1052–62.
   PubMed Web of Science ®Google Scholar
• Carraro P, Plebani M, . Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007; 53:1338–42.
   PubMed Web of Science ®Google Scholar
• Hickner J, Graham DG, Elder NC, Brandt E, Emsermann CB, Dovey S, Phillips R, . Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. Qual Saf Health Care. 2008; 17:194–200.
   PubMedGoogle Scholar
• Nutting PA, Main DS, Fischer PM, Stull TM, Pontious M, Seifert MJr, Boone DJ, Holcomb S, . Toward optimal laboratory use. Problems in laboratory testing in primary care. JAMA. 1996; 275:635–9.
   Google Scholar
• Wiwanitkit V, . Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6-month monitoring. BMC Clin Pathol. 2001; 1:5.
   PubMedGoogle Scholar
• Söderberg J, Brulin C, Grankvist K, Wallin O, . Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Clin Chem Lab Med. 2009; 47:195–201.
   PubMed Web of Science ®Google Scholar
• Wallin O, Söderberg J, Van Guelpen B, Stenlund H, Grankvist K, Brulin C, . Preanalytical venous blood sampling practices demand improvement – A survey of test-request management, test-tube labelling and information search procedures. Clin Chim Acta. 2008; 391:91–7.
   PubMed Web of Science ®Google Scholar
• Wallin O, Söderberg J, Van Guelpen B, Brulin C, Grankvist K, . Patient-centred care–preanalytical factors demand attention: a questionnaire study of venous blood sampling and specimen handling. Scand J Clin Lab Invest. 2007; 67:836–47.
   PubMed Web of Science ®Google Scholar
• Kohn LT, Corrigan JM, Donaldson MS, . To err is human: building a safer health system. Brief summary. ; :–.Accessed 6 March 2009 from: http://www.iom.edu/Fileaspx?ID=4117 2000
   Google Scholar
• Evans SM, Berry JG, Smith BJ, Esterman A, Selim P, O'Shaughnessy J, DeWit M, . Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006; 15:39–43.
   PubMedGoogle Scholar
• Schmidek JM, Weeks WB, . Relationship between tort claims and patient incident reports in the Veterans Health Administration. Qual Saf Health Care. 2005; 14:117–22.
   Google Scholar
• Sari AB, Sheldon TA, Cracknell A, Turnbull A, . Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ. 2007; 334:79–.
   PubMed Web of Science ®Google Scholar
• Nuckols TK, Bell DS, Liu H, Paddock SM, Hilborne LH, . Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007; 16:164–8.
   PubMedGoogle Scholar
• Green LA, Fryer GE, Jr. , Yawn BP, Lanier D, Dovey SM, . The ecology of medical care revisited. N Engl J Med. 2001; 344:2021–5.
   PubMed Web of Science ®Google Scholar
• Swedish Board for Accreditation and ConformityAssessment Accessed 6 March 2009 from: http://www.swedac.se
   Google Scholar
• Questionnaire regarding venous blood sampling in primary health care. Accessed 6 March 2009 from: http://medbio.webb120.itnorr.com/default.asp?refid=1040&id=2618&ptid=1112
   Google Scholar
• Barach P, Small SD, . Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ. 2000; 320:759–63.
   PubMed Web of Science ®Google Scholar
• National Board of Health and Welfare in SwedenAccessed 6 March 2009 from:http://www.socialstyrelsen.se
   Google Scholar
• Taylor JA, Brownstein D, Christakis DA, Blackburn S, Strandjord TP, Klein EJ, Shafii J, . Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics. 2004; 114:729–35.
   PubMed Web of Science ®Google Scholar
• Uribe CL, Schweikhart SB, Pathak DS, Dow M, Marsh GB, . Perceived barriers to medical-error reporting: an exploratory investigation. J Healthcare Manag. 2002; 47:263–79.
   PubMed Web of Science ®Google Scholar
• Kolovos NS, Bratton SL, Levy FH, . A novel error-reporting tool in pediatric intensive care. J Healthcare Qual. 2008; 30:43–50.
   Google Scholar
• Kennedy AG, Littenberg B, Senders JW, . Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008; 20:238–45.
   Google Scholar
• Plebani M, Ceriotti F, Messeri G, Ottomano C, Pansini N, Bonini P, . Laboratory network of excellence: enhancing patient safety and service effectiveness. Clin Chem Lab Med. 2006; 44:150–60.
   Google Scholar
• Suresh G, Horbar JD, Plsek P, Gray J, Edwards WH, Shiono PH, Ursprung R, Nickerson J, Lucey JF, Goldmann D, . Voluntary anonymous reporting of medical errors for neonatal intensive care. Pediatrics. 2004; 113:1609–18.
   PubMed Web of Science ®Google Scholar
• Valenstein PN, Raab SS, Walsh MK, . Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Arch Pathol Lab Med. 2006; 130:1106–13.
   PubMed Web of Science ®Google Scholar