Mario Plebani, MD

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♦ An appropriate error detection programand adequate measures forerrorreduction that quantify the effects ofthese measures and evaluate whetherthe reduction can be consideredsatisfactory are critical.
♦ Another fundamental step is to create aculture in which the existence of risk isacknowledged and injury prevention isrecognized as everyone’sresponsibility.
Page 2 and 3: Kohn L.T., Corrigan J.M., Donaldson
Page 4 and 5: ♦ The number of deaths that are r
Page 6 and 7: ♦ The literature on errors in lab
Page 8 and 9: ♦ Most of the studies focus simpl
Page 10 and 11: ♦ Apart from a reluctance in repo
Page 13 and 14: ♦ The new pathophysiologic insigh
Page 15 and 16: LapworthGoldschmidtNuttingPlebani a
Page 17 and 18: N° %• Total test requisitions ex
Page 19 and 20: Total errors 64,000• Pre --analyt
Page 21 and 22: NumberEffectononRiskofpatient carec
Page 23 and 24: (all other testing sites vs hospita
Page 25 and 26: Errors exclusively inside the labor
Page 27 and 28: Wrong Wristband1.1%Illegible Wristb
Page 29 and 30: Missing ID Differing ID Incomplete
Page 31 and 32: DRIVE - Drug in Virtual EnterpriseL
Page 33 and 34: ♦ CBC/Diff reports have become in
Page 36 and 37: Managing the risk of organizational
Page 38 and 39: ♦ There is a need for better defi
Page 40 and 41: ♦ A standard for laboratory error
Page 44: Scientific SocietiesLaboratory Prof

Mario Plebani, MD

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