My favorite diagnosis: Tests ordered were KOH, Wet Prep, Culture and the diagnosis was "Dog Bite". After we stopped laughing I said to a coworker that I wanted to see that dog! Turns out it was ordered on the wrong patient and all the specimens were labelled incorrectly, but we didn't know anything about this part for two days. The ward clerk in the ED just crossed out the patient demographics on the results print outs and placed them on the "correct" patient's chart. Who cares that the computer has the results and charges under a different patient, right? My worst case Blood Bank scenario: Patient comes in with 2 known antibodies 13 days after several previous transfusions and goes to surgery with no type and screen specimen. Patient doesn't do well in surgery and Dr requests uncrossmatched blood STAT. We inform him that his patient has multiple antibodies and we don't know if the blood is compatible or not. He says patient is bleeding and needs blood and he will sign the consent for uncrossmatched blood. While she is getting the uncrossmatched blood, we work the patient up and find a total of 4 antibodies in the current specimen. The Dr insists that she is still bleeding the next day and needs uncrossmatched blood until we find compatible blood, and if we were competent in the lab it wouldn't be taking so long to get her blood (REALLY!) Long story shorter: patient ended up with a total of 5 antibodies, received 8 units of uncrossedmatched blood that wer each incompatible for atleast one antibody, developed a total bilirubin of 62 (yes, SIXTY-TWO) before she died 19 days later. Her doctor still thinks WE are incompetent. Even scarier, a similar scenario occurred with the same Dr. two months later with another patient. Obviously, he did nothing wrong!