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psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
July 08, 2020 - Internal medicine residents were asked to complete a validated test of ethical reasoning and then to … July 12, 2017
Wisdom in medicine: what helps physicians after a medical error? … April 24, 2014
Teaching medical error disclosure to residents using patient-centered … January 9, 2014
The disclosure of unanticipated outcomes of care and medical errors: … February 24, 2012
Medical error disclosure training: evidence for values-based ethical
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psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
May 05, 2021 - Overuse of medical care represents a significant patient safety problem , with the potential for serious … January 12, 2022
Assessment of overuse of medical tests and treatments at US hospitals … Development of a conceptual map of negative consequences for patients of overuse of medical
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - 2010
Deficiencies in Quality Management Processes and Delays in the Communication of Test … March 1, 2023
Adverse Events Toolkit: Medical Record Review Methodology. … July 26, 2023
Quality of Care Concerns and the Facility Response Following a Medical … Roudebush VA Medical Center in Indianapolis, Indiana. … DeBakey VA Medical Center in Houston, Texas.
October 25, 2023
Care Compare.
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psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
December 21, 2016 - March 13, 2019
Communicating Critical Test Results. … April 9, 2013
Medical errors arising from outsourcing laboratory and radiology services … Topic
Clinical Technologists
Physicians
Pathology and Laboratory Medicine
Diagnostic Test
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … While awaiting test results, the ED physician ordered a “GI cocktail,” which provided no relief. … Depending on the location of the pain, ultrasound may be a more useful test. … National Hospital Ambulatory Medical Care Survey: 2018 emergency department summary tables.
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psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation
April 13, 2022 - In this retrospective study, researchers analyzed patient complaint and medical record data and found … June 22, 2022
Why test results are still getting "lost" to follow-up: a qualitative study … Related Resources
Lifetime prevalence and correlates of patient-perceived medical … September 26, 2018
A patient-initiated voluntary online survey of adverse medical events
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Misinterpretation of radiology test results can contribute to diagnostic errors and patient harm … October 21, 2020
Electronic medical record-based interventions to encourage opioid prescribing … March 30, 2022
Modifications to medical emergency team activation criteria and implications … Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical
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psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
March 11, 2020 - This commentary discusses the revision of a structured tool for physician review of medical records … October 19, 2012
Evaluating a mobile application for improving clinical laboratory test … April 13, 2022
Charting diagnostic safety: exploring patient-provider discordance in medical … October 25, 2017
Medical error: the second victim.
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psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
December 07, 2022 - Medical errors and adverse events can take a significant toll on clinicians. … December 22, 2021
Closing the loop on test results to reduce communication failures: … February 15, 2023
Support for healthcare workers and patients after medical error through … January 18, 2023
Criminal liability for nursing and medical harm.
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psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
March 04, 2020 - Review
2017 update on pediatric medical overuse: a review. … Citation Text:
Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. … March 4, 2020
2018 update on pediatric medical overuse: a review. … May 11, 2019
2019 update on medical overuse: a review. … March 4, 2020
2018 update on pediatric medical overuse: a review.
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - For example, if a patient on a medical ward begins to deteriorate,
the bedside nurse will need to communicate … For example,
read-back protocols are now standard practice for communication of critical test results … communication" as one of its National Patient Safety Goals
, emphasizing the importance of communicating test … surgical-team-behaviors-and-patient-outcomes
https://psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - The report highlighted the incidence of medical errors and preventable deaths in the United States … 2024
Application of human factors methods to understand missed follow-up of abnormal test … March 15, 2017
Graphical display of diagnostic test results in electronic health records
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psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
May 18, 2022 - September 29, 2021
Why test results are still getting "lost" to follow-up: a qualitative … 2021
Application of human factors methods to understand missed follow-up of abnormal test … August 15, 2017
Can medical record reviewers reliably identify errors and adverse events
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - electronic health records (EHRs); (ii) patient portals that allow direct access to health information, test … These summaries often include the patient's problem list, diagnostic test results, and updated medication … relevant to the clinical discussions that occurred during their visits, such as laboratory and diagnostic test … Impact of electronic medical record on physician practice in office settings: a systematic review. … Patient web services integrated with a shared medical record: patient use and satisfaction.
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - Safety Research and Practice at Brigham and Women’s Hospital and a Professor of Medicine at Harvard Medical … We conducted clinical trials in three academic medical centers that demonstrated the effectiveness … Most nurses who take this fall knowledge test before training fail it. … We published our results in the Journal of the American Medical Association (JAMA). … Make STEADI part of your medical practice. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/outpatient-prescribing-errors-and-impact-computerized-prescribing
February 18, 2011 - February 24, 2011
"I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … March 10, 2011
The influence of the structure and culture of medical group practices
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psnet.ahrq.gov/issue/safety-information-patients-and-families
February 05, 2014 - Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society
Copy Citation … Errors; Massachusetts Medical Society
This Web site provides medication safety information for … Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society
Copy … May 7, 2007
Communicating Critical Test Results. … apology for medical errors?
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - A urine pregnancy test was ordered and was positive. … The test result was documented in the electronic medical record. … In caring for women, such a history should include height, weight, current and past medical history ( … In this case, the patient informed the staff that she was pregnant, and a pregnancy test was performed … Second, the internist could have reviewed the information more carefully in the medical record.
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - September 22, 2021
Accuracy of send-out test ordering: a College of American Pathologists … September 1, 2012
Medical errors arising from outsourcing laboratory and radiology services … October 7, 2011
The frequency of missed test results and associated treatment delays
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psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
November 18, 2015 - exacerbated by a tendency toward secrecy within silos, and a culture in which unexpected or unwanted test … Copy Citation
Related Resources From the Same Author(s)
Demanding Medical … November 18, 2015
Forgive and Remember: Managing Medical Failure. 2nd ed. … June 28, 2016
Americans' Experiences With Medical Errors and Views on Patient Safety. … March 6, 2005
Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic