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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - The radiology department at the community hospital had recently implemented an electronic picture archiving … characteristics of the technology are not carefully managed.( 2,3 ) The IT "Gap" Uncovered Digital radiology … Technology as a Source of New Failures Just a few years ago, prior to development of digital radiology … The Syndrome of IT Dependence The details of digital radiology and IT are only one aspect of this interesting … PACS: radiology in the digital world. AJR Am J Roentgenol. 2001;177:499.[ go to PubMed ] 5.
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - But an interesting study in radiology highlighted the concrete role that interruptions can play in … sought to assess the effect of distractions from telephone interruptions on diagnostic performance by radiology … A local quality assurance project in this radiology department at a tertiary care pediatric center tracked … Using telephone logs from the radiology reading room, the authors found a slightly greater average number
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Only one site had its
own radiology suite and staff for plain films; all the others used nearby hospitals … and free
standing radiology centers for imaging and special tests.
6
Table 1. … No Yes No
Electronic health record No No No Yes
Outside laboratories used (N) 1 1 2 2
Outside radiology … While each
practice had preferred reference laboratories and radiology centers, a patient’s insurance
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - These ACCORDs include 1) colorectal cancer screening and surveillance, 2) abnormal
radiology result … Abnormal radiology result: Patients 18 years old or older with an abnormal radiology
result (including … Abnormal radiology result: Patient requiring biopsy or consultation for abnormal imaging
finding or … • For abnormal radiology results: Compare (1) the proportion of abnormal radiology results
with
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Text-based test reports (e.g. radiology) have a coded
(e.g., abnormal/normal at a minimum) interpretation … appreciated the value of this recommendation for laboratory data and
in certain circumstances for radiology … For example, many radiology tests and
procedures have several findings which can only be assessed as … laboratory, radiology) to call physicians directly with critical findings. … Text-based test reports (e.g. radiology) have a coded(e.g., abnormal/normal at a minimum) interpretation
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psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
March 11, 2011 - Related Resources
Patient Safety Innovations
Critical Radiology … Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - July 19, 2017
Pediatric radiology malpractice claims—characteristics and comparison to … adult radiology claims.
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - May 19, 2021
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … Related Resources
Patient Safety Innovations
Critical Radiology
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psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment
December 05, 2018 - August 29, 2018
Bias in radiology: the how and why of misses and misinterpretations. … Hospitals
Allied Health Professionals
Quality and Safety Professionals
Safety Scientists
Radiology
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psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
March 15, 2017 - Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology … See More About The Topic
Hospitals
Risk Managers
Quality and Safety Professionals
Radiology
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - SPOTLIGHT CASE
Physical Diagnosis: A Lost Art?
Citation Text:
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Citation Text:
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…
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psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
January 19, 2014 - Study
Risk factors for adverse events in emergency department procedural sedation for children.
Citation Text:
Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…
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psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
October 14, 2015 - Study
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.
Citation Text:
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
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psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
April 07, 2021 - Study
Identification of common themes from never events data published by NHS England.
Citation Text:
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
C…
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - Study
Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.
Citation Text:
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…
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psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
February 18, 2009 - Study
Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.
Citation Text:
Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing
August 03, 2017 - Review
The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review.
Citation Text:
Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…
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psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - Study
Are physician assistants able to correctly identify prescribing errors? A cross-sectional study.
Citation Text:
Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. J Physician Assist Educ. 2023;34…