Some of the best-known safety speedbumps for physician practices lie in the patient testing area. Orders have to be developed and communicated, results communicated from the lab to the office and then to the patient or other providers. The provider who ordered the test has to see the results and react appropriately. Documentation of this process needs to be complete and accurate. AHRQ has developed a toolkit to address this issues in collaboration with the University of Colorado. It is available here. And remember that in support of that work, the Center for Patient Safety offers the AHRQ Safety Culture Survey for Medical Offices, along with follow-up support to improve the culture behind the work.