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psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
November 13, 2024 - Physicians named closer follow-up and reliable test management systems as major system improvements … November 3, 2021
Notification of abnormal lab test results in an electronic medical record … August 24, 2011
Timely follow-up of abnormal diagnostic imaging test results in an outpatient … February 17, 2011
The management of test results in primary care: does an electronic
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psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement
August 20, 2018 - Failure to communicate abnormal test results to patients can lead to significant health complications … aimed to increase patient engagement in asking their provider about previously obtained diagnostic test … Reminders to follow up with their provider about test results were sent to the patient via the after-visit … Patients receiving reminders were up to 20 times more likely to ask their providers about their test … February 18, 2011
The management of test results in primary care: does an electronic
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psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
February 22, 2011 - Poor test result management can lead to missed or delayed diagnosis . … for test results, inability to track result follow-up via technology, and absence of standardized workflow … and expectations impede timely test result notification and follow-up. … , 2010
Frequency of failure to inform patients of clinically significant outpatient test … February 10, 2012
Failure to notify reportable test results: significance in medical
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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - Study
Electronic detection of delayed test result follow-up in patients with hypothyroidism … Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. … Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. … 2016
Application of human factors methods to understand missed follow-up of abnormal test … , 2010
Frequency of failure to inform patients of clinically significant outpatient test
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Summary
Concern over patient safety issues associated with inadequate tracking of test … results has grown over the last decade, as it can lead to delays in the recognition of abnormal test … delay in cancer treatment is associated with increased mortality. 4 Failure to recognize an abnormal test … Specifically, they investigated radiologist follow-up recommendations and colonoscopy test follow-up … after abnormal test results to design a lung cancer safety net and a colon cancer safety net. 1 The
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - In this study, clinicians were notified in real time about critical lab test abnormalities and provided … However, this intervention did not prevent adverse events attributable to the critical test results, … 16, 2022
View More
Related Resources
"I wish I had seen this test … : dissatisfaction with test result management systems in primary care. … April 14, 2011
The frequency of missed test results and associated treatment delays in
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psnet.ahrq.gov/issue/development-and-validation-electronic-health-record-based-triggers-detect-delays-follow
June 21, 2016 - Delays in follow-up of abnormal test results are known to contribute to delayed and missed diagnosis … This work should lead to prospective evaluation of trigger approaches to enhance test result follow-up … January 19, 2012
A virtual breakthrough series collaborative for missed test results: … December 5, 2018
Electronic detection of delayed test result follow-up in patients with … December 31, 2014
Notification of abnormal lab test results in an electronic medical
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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
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psnet.ahrq.gov/node/72523/psn-pdf
December 02, 2020 - Clinical decision support improves the appropriateness of
laboratory test ordering in primary care without … Clinical decision support improves the appropriateness of
laboratory test ordering in primary care without … https://psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering … The intervention improved appropriateness and decreased
volume of laboratory test ordering and did not … https://psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering-primary-care
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. … Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. … https://psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and … Centers for Disease Control and Prevention improved clinician decision-
making about anticoagulation test … https://psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? … Is the test result correct? … Is the test result correct? … request management and test tube labelling. … request management and test tube labelling.
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
June 11, 2008 - more likely to be mitigated if they could be more easily detected by office staff—for example, if a test … May 22, 2024
'I guess I'll wait to hear'- communication of blood test results in primary … September 1, 2016
The frequency of missed test results and associated treatment delays … April 14, 2011
Management of test results in family medicine offices. … , 2011
Frequency of failure to inform patients of clinically significant outpatient test
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - felt back to "normal" so the clinicians caring for her in an observation unit arranged for a stress test … When the patient arrived for her stress test, she reported feeling well with no further chest pain. … Approximately 3 minutes into her stress test, she collapsed and went into cardiac arrest. … and if applicable, the individual responsible for using the test results … How should a laboratory differentiate an individual requesting a test from an individual responsible
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - ordered
Decisions regarding test results are stretched out across time and space
Test results may arrive … Getting Results: Reliably Communicating and Acting on Critical Test Results. … "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … result management and test workflows
Inbasket management is time-consuming.
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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Lack of timely follow-up of test results is an ongoing patient safety problem in primary care and can … influencing follow-up include physician-patient miscommunication , alert fatigue, difficulty obtaining test … June 23, 2021
Why test results are still getting "lost" to follow-up: a qualitative study … 2021
Application of human factors methods to understand missed follow-up of abnormal test
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - (e.g., heart attack within 7 days of ED visit for chest pain), and lack of follow-up after abnormal test … August 20, 2018
Electronic detection of delayed test result follow-up in patients with … September 28, 2016
Why test results are still getting "lost" to follow-up: a qualitative … Emergency Departments
Emergency Medicine
Emergency Nursing
Clinical Misdiagnosis
Diagnostic Test
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - The authors identify errors that may occur with electronic test result systems and describe improvement … January 17, 2012
Notification of abnormal lab test results in an electronic medical record … September 20, 2011
Management of test results in family medicine offices. … November 10, 2010
Ten strategies to improve management of abnormal test result alerts … July 14, 2010
The management of test results in primary care: does an electronic medical
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psnet.ahrq.gov/issue/adverse-diagnostic-events-hospitalised-patients-single-centre-retrospective-cohort-study
December 07, 2022 - Assessment, diagnostic test ordering , subspecialty consultation, patient experience, and history were … July 10, 2024
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … July 26, 2011
Direct reporting of laboratory test results to patients by mail to enhance … See More About The Topic
Hospitals
Hospital Medicine
Clinical Misdiagnosis
Diagnostic Test
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psnet.ahrq.gov/node/46985/psn-pdf
July 02, 2019 - cluster-
randomized trial used medical record review to assess whether an automated notification of test … The intervention was focused on actionable test results, which constituted less than 10% of all
pending … problems
related to tests pending at discharge and how organizations can improve follow-up of abnormal test … primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet
[internet]. 2021. … The in-house test returned as positive for SARS-CoV-2. … platforms and to a second-generation in-house test. … Rethinking Covid-19 Test Sensitivity — A Strategy for
Containment. … Eight recommendations for policies for communicating abnormal test results.