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101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60826/psn-pdf
     August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite … Variation in electronic test results management and its implications for patient safety: a multisite … https://psnet.ahrq.gov/issue/variation-electronic-test-results-management-and-its-implications-patient … safety-multisite This qualitative study explored how clinicians ensure optimal management of diagnostic test … Thematic analyses identified strategies clinicians use to enhance test result management including paper-based

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73252/psn-pdf
     January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. … Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. … https://psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation … States, this qualitative study identified factors contributing to lack of timely follow-up of abnormal test … The authors summarize participant recommendations to reduce missed test results.

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61120/psn-pdf
     November 11, 2020 - Application of human factors methods to understand missed follow-up of abnormal test results. … Application of human factors methods to understand missed follow-up of abnormal test results. … https://psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test … - results Lack of timely follow-up of test results is a recognized patient safety problem in primary … https://psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72509/psn-pdf
     November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … https://psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence … - practice-and Incomplete or delayed test result communication can contribute to diagnostic errors, … /issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results https

105. Identifying risk in the use of tumor markers to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
     March 09, 2022 - These results suggest that enhancing test ordering is critical for improving diagnostic safety. … Development and test of a definition. May 30, 2012 Is the test result correct? … Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling.

106. Safeguarding Diagnostic Testing at the Point of Care | PSNet
     psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
     September 30, 2011 - The protocol in the clinic was to check a urine pregnancy test prior to placing an IUD. … By mistake, she entered the result of the urine pregnancy test for this patient as positive instead of … As of June 2016, certificate of waiver test sites constitute 70% of the 254,000 CLIA-registered testing … Routine safety precautions include safe handling of patient specimens, safe disposal of test reagents … Start with a plan/protocol (from the ordering of a test to result recording) that ensures test quality

107. Communication outcomes of critical imaging results in a computerized notification system. | PSNet
     psnet.ahrq.gov/issue/communication-outcomes-critical-imaging-results-computerized-notification-system
     April 04, 2011 - The investigators analyzed the effectiveness of automated alerts for abnormal test results and found … Related Resources From the Same Author(s) Timely follow-up of abnormal diagnostic imaging test … July 10, 2008 Notification of abnormal lab test results in an electronic medical record … September 20, 2011 Eight recommendations for policies for communicating abnormal test … September 1, 2016 Communicating Critical Test Results.

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837771/psn-pdf
     August 03, 2022 - 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study … ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study … https://psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative … and general practitioners (GPs) were asked about their experiences with the communication of blood test … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review https

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47340/psn-pdf
     February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. … Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. … https://psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple- … perspectives This study examined ambulatory follow-up of test results by aggregating multiple types … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review https

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47825/psn-pdf
     March 06, 2019 - Diagnostic error as a result of drug-laboratory test interactions. … Diagnostic error as a result of drug- laboratory test interactions. … https://psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions Failure to recognize … potential drug–laboratory test interactions can lead to misinterpretation of results, misdiagnosis, … /issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation https

111. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet
     psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
     April 23, 2014 - Unreliable test result management systems and failure to follow-up on abnormal test results are common … September 1, 2016 Laboratory test ordering and results management systems: a qualitative … March 10, 2011 Is the test result correct? … Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling.

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837677/psn-pdf
     July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton … https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer- … hampton-va-medical Cancer test communication failures can contribute to physical, emotional, and financial … Seven recommendations are included for improving abnormal test result communication and error management … https://psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50805/psn-pdf
     January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. … https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed … test result communication is a known factor in diagnostic error. … https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results https://psnet.ahrq.gov … /issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary https

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854986/psn-pdf
     November 01, 2023 - Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated … Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated … https://psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching … https://psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university … https://psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university

115. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet
     psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
     July 07, 2010 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling. … request management and test tube labelling. … request management and test tube labelling. … March 10, 2011 Is the test result correct?

116. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
     October 24, 2018 - Failure to properly follow up on test results can result in missed or delayed diagnoses . … a lack of systems to track patients needing urgent evaluation, insufficient follow-up of abnormal test … Although electronic medical records (EMRs) should facilitate responding to abnormal test results, prior … December 30, 2014 Laboratory test ordering and results management systems: a qualitative … January 19, 2012 The frequency of missed test results and associated treatment delays

117. Computerized triggers of big data to detect delays in follow-up of chest imaging results. | PSNet
     psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
     March 19, 2018 - Insufficient follow-up of test results is a known contributor to missed and delayed diagnosis . … cases identified by the trigger tool and a reference set of cases involving patients with abnormal test … A WebM&M commentary discussed delayed follow-up of a diagnostic test. … March 19, 2018 Electronic detection of delayed test result follow-up in patients with … 2017 Application of human factors methods to understand missed follow-up of abnormal test

118. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. | PSNet
     psnet.ahrq.gov/issue/use-artificial-intelligence-image-analysis-breast-cancer-screening-programmes-systematic
     May 13, 2020 - artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test … artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test … artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test … November 24, 2021 Closing the loop on test results to reduce communication failures: … Ambulatory Care Information Professionals Medical Oncology Radiology Diagnostic Test

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74003/psn-pdf
     October 27, 2021 - Test-retest reliability of an experienced Global Trigger Tool review team. … Test-retest reliability of an experienced Global Trigger Tool review team. … https://psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team Trigger … The team recommends additional test-retest studies in other hospitals. … https://psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team https

120. Implementation and evaluation of a laboratory safety process improvement toolkit. | PSNet
     psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
     July 12, 2010 - The content for patient engagement and communication with test results was particularly valued. … January 15, 2025 Patient safety in actioning and communicating blood test results in … May 22, 2024 'I guess I'll wait to hear'- communication of blood test results in primary … July 16, 2014 The management of test results in primary care: does an electronic medical … Office Health Care Providers Facility and Group Administrators Primary Care Diagnostic Test