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can be determined by comparing plasma or serum with the colored chart, but studies have shown that the human eye cannot see a fine difference in hemolysis, especially in neonatal samples, which are usually icteric [ 5 ], because icterus increases the limit for visual detection of hemolysis [ 6 ]. Visual assessment of hemolysis could lead to a significant effect on patient safety. Automated detection of hemolysis using H index on clinical chemistry analyzers is a more reliable, accurate and standardized way of assessing the degree of hemolysis. Because of its better

also depends on the choice of events to keep under control and the procedure that an individual laboratory uses for measurement. Although many laboratory professionals believe that the systemic use of QIs in Laboratory Medicine may be effective in decreasing errors occurring throughout TTP with a view to enhancing patient safety and meeting the requirements of International Standard ISO 15189 [ 8 ], they find it difficult to maintain standardized and systematic data collection along with a high level of interest, commitment and dedication from the entire staff. In

1 Introduction Medical errors, near misses, and unsafe conditions cause patient harms and reduced healthcare quality. A recent study reported that the estimated annual cost of medical errors in the United States has risen to $17.1 billion (van Den Bos et al., 2011 ). The growing cost of medical errors is observed in other countries as well and has become a global patient safety concern ( Baker et al., 2004 ; Vanderheyden et al., 2004 ; Williams & Osborn, 2006 ). The Institute of Medicine (IOM) and the Agency for Healthcare Research and Quality (AHRQ

Introduction Laboratory medicine, along with other healthcare sectors, is widely recognized for the continuous development of new models for quality which, on closer inspection, turn out to be rather similar to the old initiatives and only differ for a new label. Is it “patient safety” a new bottle for an old wine? Some of the core ideas and concepts of patient safety could certainly be identified in the earlier writing from the quality pioneers and leaders, although seldom in rather embryonic form [1]. Focusing on laboratory medicine, it should be underlined

Clin Chem Lab Med 2007;45(6):700–707 2007 by Walter de Gruyter • Berlin • New York. DOI 10.1515/CCLM.2007.170 2006/124 Article in press - uncorrected proof Review Errors in laboratory medicine and patient safety: the road ahead Mario Plebani* Department of Laboratory Medicine, University Hospital of Padova and Center for Biomedical Research, Castelfranco Veneto, Italy Abstract The Institute of Medicine (IOM) report, To err is human, galvanized a dramatically increased level of concern about adverse events and patient safety in healthcare, including errors in

Clin Chem Lab Med 2011;49(5):927–929 2011 by Walter de Gruyter • Berlin • New York. DOI 10.1515/CCLM.2011.129 2010/583 Article in press - uncorrected proof Letter to the Editor Patient safety: patient identification wristband errors Gurdeep S. Dhatt1,*, Hassan Abu Damir1, Steven Matarelli2, Krishnan Sankaranarayanan3 and David M. James4 1 Department of Laboratory Medicine, Tawam Hospital, Al Ain, United Arab Emirates 2 Chief Operating Officer, Tawam Hospital, Al Ain, United Arab Emirates 3 Department of Performance Innovation, Tawam Hospital, Al Ain, United Arab

care in Utah and Colorado. Med Care. 2000; 38:261-71. 10.1097/00005650-200003000-00003 4. Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD. The Quality in Australian Health Care Study. Med J Aust. 1995; 163:458-71. 5. Runciman W, Hibbert P, Thomson R, Van Der ST, Sherman H, Lewalle P. Towards an international classification for patient safety: key concepts and terms. Int J Qual Health Care. 2009; 21:18-26. 10.1093/intqhc/mzn057 6. National Patient Safety Agency. Seven steps to patient safety, step 4: promote reporting. 2004. [cited 2009 May 10

1 Introduction In 1999, the Institute of Medicine (IOM), after three major medical accidents, published a landmark report: 1 “To Err is Human: Building a Safer Health System” (translated as “everyone makes mistakes: building a safer health care system”). The IOM thinks that the objective of patient safety is to allow patients to avoid accidental injury to ensure the safety of patients. It requires that medical institutions, through the establishment of standardized procedures and systems, maximize the prevention of the occurrence of errors. Patient safety