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psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
November 29, 2023 - DeBakey VA Medical Center in Houston, Texas. … DeBakey VA Medical Center in Houston, Texas. … DeBakey VA Medical Center in Houston, Texas. … Author(s)
Deficiencies in Quality Management Processes and Delays in the Communication of Test … VA Medical Center in Memphis, Tennessee.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014-user-comparative-database-report
April 23, 2014 - Book/Report
Medical Office Survey on Patient Safety Culture: 2014 User Comparative … Citation Text:
Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report … The growing interest in patient safety in ambulatory care led to the development of the AHRQ Medical … records, and respondents described high levels of teamwork as well as reliable patient tracking and test … June 8, 2016
Adult Hospital Stays with Infections Due to Medical Care, 2007.
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - Magazine Article
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical … Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records … addition, other caveats and barriers to successfully launching technological solutions to minimize medical … Citation
Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical … April 7, 2021
Electronic medicine can send you test results quickly.
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - 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 “ … An antibody test is preferred. … Medicine
Primary Care Research in Diagnostic Errors (PRIDE)
Brigham and Women’s Hospital
Harvard Medical … Practice
Primary Care Research in Diagnostic Errors (PRIDE)
Brigham and Women’s Hospital
Harvard Medical
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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - December 3, 2014
The potential for improved teamwork to reduce medical errors in the … June 24, 2015
An objective framework for evaluating unrecognized bias in medical AI models … June 1, 2022
Closing the loop on test results to reduce communication failures: a rapid … March 13, 2019
The safety implications of missed test results for hospitalised patients … Professionals
Hematology
Pathology and Laboratory Medicine
Pediatric Hematology
Diagnostic Test
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psnet.ahrq.gov/issue/unintended-consequences-patient-online-access-health-records-qualitative-study-uk-primary
February 02, 2022 - February 2, 2022
'I guess I'll wait to hear'- communication of blood test results in … February 2, 2022
Workarounds and test results follow-up in electronic health record–based … August 3, 2016
Development of a tool within the electronic medical record to facilitate … May 4, 2011
The management of test results in primary care: does an electronic medical
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - berated for not having obtained what the physician assistant stated was an important and essential test … Perhaps a creatinine test was ordered but not done by the patient because of an accompanying unwanted … PSA test. … Although other medical options are available ( 6,7 ), the decision to prescribe an alpha-blocker for … A PSA test is often ordered in this clinical situation but should not be performed without discussing
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psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
September 28, 2022 - Implementation of patient safety structures and processes in the patient-centered medical … Implementation of patient safety structures and processes in the patient-centered medical home. … The goal of the patient centered medical home (PCMH) model is to reorganize primary care to provide … Implementation of patient safety structures and processes in the patient-centered medical home. … December 9, 2020
Clinical decision support improves the appropriateness of laboratory test
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Author(s)
Deficiencies in Quality Management Processes and Delays in the Communication of Test … Roudebush VA Medical Center in Indianapolis, Indiana. … Haley VA Medical Center, Tampa, Florida. … April 26, 2006
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … Roudebush VA Medical Center in Indianapolis, Indiana.
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psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
July 13, 2022 - Psychosocial working conditions as determinants of concerns to have made important medical … errors and possible intermediate factors of this association among medical assistants - a cohort study … possible intermediate factors of this association among medical assistants – a cohort study. … of concerns for having committed a medical error. … March 18, 2020
Closing the loop on test results to reduce communication failures: a rapid
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - In this retrospective study, researchers analyzed patient complaint and
medical record data and found … Variation in electronic test results management and its implications for patient safety: a multisite … Through a
systematic review and observations of team dynamics in a hospital medical ward, researchers … Through a
systematic review and observations of team dynamics in a hospital medical ward, researchers … In this retrospective study, researchers analyzed patient complaint and
medical record data and found
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Confirmation of communication should be noted in the patient’s medical record. … Pending test results can be included in a section of the patient’s discharge paperwork where they can … When patients or their family members inquire about hospital test results it provides an extra layer … Patient safety concerns arising from test results that return after hospital discharge. … Changes in medical errors after implementation of a handoff program.
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
February 08, 2023 - The investigation revealed test result errors and failure to notify patients, as well as a lack of oversight … report makes numerous recommendations with respect to ethics, standards of care, and disclosure of medical … November 28, 2018
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules … Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical … May 21, 2014
External Inquiry into the adverse incident that occurred at Queen's Medical
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
October 12, 2022 - 2024
Deficiencies in Quality Management Processes and Delays in the Communication of Test … September 4, 2019
Multiple Failures in Test Results Follow-up for a Patient Diagnosed … with Prostate Cancer at the Hampton VA Medical Center in Virginia. … January 16, 2025
Adverse Events Toolkit: Medical Record Review Methodology. … The Report of the Independent Medicines and Medical Devices Safety Review.
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psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - Results of the Harvard Medical Practice Study I. … As part of a multidisciplinary study of malpractice and medical injury, the Harvard Medical Practice … Results of the Harvard Medical Practice Study III. … Results of the Harvard Medical Practice Study II. … June 21, 2015
How context affects electronic health record–based test result follow-up
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Needed
Staffing: Four hospital employees worked full-time over a 20-month period to develop and test … The prompts serve as guides and do not replace the medical staff's expertise. … Based on this small-scale test, the team made minor improvements, after which they deemed the system … Needed
Staffing: Four hospital employees worked full-time over a 20-month period to develop and test … ‘Trauma systems development challenges the conventional medical hierarchy’.
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psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands
January 18, 2013 - Resources From the Same Author(s)
Recognition of adverse drug events in older hospitalized medical … August 10, 2022
Impact of interactions between drugs and laboratory test results on diagnostic … test interpretation—a systematic review. … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions. … How nurses and physicians judge their own quality of care for deteriorating patients on medical
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - Medical Devices in the "Wild". PSNet [internet]. … Medical Devices in the "Wild". PSNet [internet]. … pharmacists, engineers, and human factors specialists to develop a prototype infusion pump and simulation test … Take-Home Points Medical device use errors are responsible for a large portion of medical errors … When will health care pass the orange-wire test? Lancet. 2004;364:1567-1568.
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psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
March 15, 2017 - Contributing factors included failure or delay in test ordering or consultation . … These findings suggest that improving test results management and consultative processes may reduce malpractice … 2021
Association of pediatric resident physician depression and burnout with harmful medical … About The Topic
Ambulatory Clinic or Office
Physicians
Risk Managers
Primary Care
Medical
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psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and
May 20, 2019 - comparing the performance of artificial intelligence (AI; specifically deep learning algorithms ) in medical … June 8, 2022
Closing the loop on test results to reduce communication failures: a rapid … artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test … August 11, 2021
Visual illusions in radiology: untrue perceptions in medical images and