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psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - care teams, challenges to informing patients of
results, and difficulties associated with ensuring follow-up … laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review … frequency-failure-inform-patients-clinically-significant-outpatient-test-results
https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - the legal standard that is applied to a failure to contact a patient about test results that require
follow-up … of such cases, plus
related cases involving patients who do not appear for an important scheduled follow-up … From a legal perspective, patients have a duty to participate in follow up as well. … important test results expected within a
reasonable time are returned and reviewed, or scheduling a follow-up … Failing to contact a patient about abnormal test results that require follow up is a clear error that
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - He was discharged home with an indwelling urinary catheter and a
follow-up appointment with the same … At that follow-up appointment, he was told he was "ready for surgery"—despite his fears of potentially … More than 3 years of follow-up,
3/280 men developed renal decompensation in the surgery group, versus … After 4.5 years of follow-up, not a single man in any
study arm developed renal failure related to BPH … Over the ensuing 10 weeks, the patient, distrustful of the clinician he encountered, canceled his follow-up
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - Sarah Mossburg: You recently published an article, "The Safety of Inpatient Health Care: A Long-Term
Follow-Up … Sometimes people are even lost in follow-up. … Tools that ensure very
high degrees of follow-up are helpful. … and then track them to ensure (1) that the ordering
physician is aware and (2) that the appropriate follow-up … Beyond the AJR: the need for high-reliability systems to create and track
actionable follow-up recommendations
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - up procedures is inconsistent. … be time-consuming and may result in a high number of positives, requiring additional
resources for follow-up … Scheduling rapid follow-up visit
appointments before discharge helps bridge the gap between inpatient … after discharge, in whatever mode the patient prefers (e.g., phone, text, face-to-
face).19 These follow-up … Resource
constraints, such as the nationwide shortage of mental health professionals and follow-up services
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psnet.ahrq.gov/node/837771/psn-pdf
August 03, 2022 - Patients and GPs both expected the other to follow up on results
and had conflicting experiences with … i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-ambulatory-care-electronic-notification-tool-incomplete
April 22, 2013 - rate of imaging completion (22.1% vs. 18.8%); this difference was sustained throughout the 12-month follow-up … January 29, 2020
Performance of a fail-safe system to follow up abnormal mammograms in
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psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
December 31, 2014 - A past AHRQ WebM&M commentary discussed the role of postdischarge follow-up phone calls on safe care … May 19, 2021
The impact of automated notification on follow-up of actionable tests pending
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Resources
The delivery of safe and effective test result communication, management and follow-up … May 4, 2022
Technology-based closed-loop tracking for improving communication and follow-up … April 14, 2011
The value of inking breast cores to reduce specimen mix-up.
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - One
notable addition to the original list is that serious harm associated with failure to properly follow … up on test
results is now considered a never event. … fire-safety
https://psnet.ahrq.gov/web-mm/flying-object-hits-mri
https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
https
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psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
January 08, 2025 - June 22, 2009
Computerized triggers of big data to detect delays in follow-up of chest … May 31, 2017
Electronic triggers to identify delays in follow-up of mammography: harnessing
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psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up … Study
Catching those who fall through the cracks: integrating a follow-up … Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up
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psnet.ahrq.gov/node/41745/psn-pdf
October 10, 2012 - communication of results to patients via email has been proposed as a strategy to prevent
failure to follow … up on test results, this systematic review did not find any controlled studies evaluating the
effectiveness … email-communicating-results-diagnostic-medical-investigations-patients
https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
-
psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
June 14, 2011 - July 1, 2017
Three scans are better than two for follow-up: an automatic method for finding … missed and misidentified lesions in cross-sectional follow-up of oncology patients. … February 26, 2025
WebM&M Cases
Coming up for Err: Missed
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psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - Related Resources
Technology-based closed-loop tracking for improving communication and follow-up … March 13, 2019
Electronic detection of delayed test result follow-up in patients with
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psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
November 13, 2024 - December 30, 2014
Why test results are still getting "lost" to follow-up: a qualitative … January 19, 2012
Application of human factors methods to understand missed follow-up
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - toxigenic strain, rather than true infection.(14
)
It's also crucial to consider best practices for follow-up … estimated 11% of inpatient microbiology tests result after discharge and approximately 2% of those
require follow-up … While
these efforts resulted in a 16% increase in documented follow-up, follow-up still only occurred … Incidence and predictors of microbiology
results returning postdischarge and requiring follow-up. … Impact of automated alerts on follow-up of post-discharge
microbiology results: a cluster randomized
-
psnet.ahrq.gov/node/837628/psn-pdf
July 06, 2022 - analyzed data from
a large US breast cancer screening consortium to evaluate differences in diagnostic follow-up … breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
https://psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Identify reasons patients are lost to follow up
5. … He
underwent two rounds of targeted radiotherapy and then was lost to follow up. … After two rounds of targeted radiation, he was “lost
to follow up.” … TABLE 1: Lost-to-Follow-Up Factors
Lost-to-Follow-Up (LTFU)
Factor Categories
Examples
Socioeconomic … Predictors of Loss to Follow-Up Among Pediatric
and Adult Hematopoietic Cell Transplantation Survivors
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psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - In this case, it is
easy to see how this patient ended up seeing so many different care providers. … to develop a plan that provides some
continuity of care for the patient, even if the schedule for follow-up … This would allow sufficient time and access for each patient, their pending evaluations, and their follow-up … continuity, and create easier opportunities to “sign out” evolving patients who require necessary
follow-up … type of patient care seen in this case:
Residents must always generate a differential diagnosis and follow