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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73915/psn-pdf
     October 06, 2021 - Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. … Responses of physicians to an objective safety and quality knowledge test: a cross- sectional study. … https://psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross- … https://psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study … https://psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836724/psn-pdf
     March 09, 2022 - when-no-news-bad-news-improving-diagnostic-testing-communication- through-patient-engagement Failure to communicate abnormal test … 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 … delay-treatment-failure-contact-patient-leads-significant-complications https://psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43013/psn-pdf
     March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … https://psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study … This study underscores persisting concerns related to test results management, despite longstanding … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review https

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836807/psn-pdf
     March 30, 2022 - preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger- radiology-imaging Failure to follow up on abnormal diagnostic test … preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38228/psn-pdf
     July 14, 2010 - Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety … Timely Follow-Up of Abnormal Outpatient Test Results. … https://psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact … - patient-safety Physicians reported dissatisfaction with their ability to follow up on test results … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39502/psn-pdf
     September 29, 2017 - Eight recommendations for policies for communicating abnormal test results. … Eight recommendations for policies for communicating abnormal test results. … https://psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results This … ://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43712/psn-pdf
     December 03, 2014 - How context affects electronic health record–based test result follow-up: a mixed-methods evaluation … How context affects electronic health record-based test result follow- up: a mixed-methods evaluation … https://psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed … This study explored various sociotechnical factors that may contribute to missed test results. … A previous AHRQ WebM&M commentary discussed the many issues that contribute to missed test follow-up

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39372/psn-pdf
     September 20, 2011 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety … (or inability) to promptly follow up abnormal test results may lead to diagnostic errors and other … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

149. Unintended errors with EHR-based result management: a case series. | PSNet
     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

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39674/psn-pdf
     July 14, 2010 - The management of test results in primary care: does an electronic medical record make a difference? … The management of test results in primary care: does an electronic medical record make a difference? … https://psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make … Failure to appropriately follow up on abnormal test results is a common ambulatory care safety problem … electronic-health-records-ambulatory-care-national-survey-physicians https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

151. Psn-Pdf (pdf file)
     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.

152. Critical Opportunity Lost | PSNet
     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

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43445/psn-pdf
     October 01, 2014 - Test result communication in primary care: clinical and office staff perspectives. … Test result communication in primary care: clinical and office staff perspectives. … The communication of test results is a key activity for primary care practices. … However, this qualitative study discovered that current systems for communicating test results vary … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44428/psn-pdf
     November 20, 2015 - Test result communication in primary care: a survey of current practice. … Test result communication in primary care: a survey of current practice. … to appropriately communicate test results is a recognized safety hazard in ambulatory care. … results, and a similar proportion had no fail-safe mechanism for tracking test results. … /primer/patient-engagement-and-safety https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42697/psn-pdf
     December 05, 2013 - An initiative to improve the management of clinically significant test results in a large health care … An initiative to improve the management of clinically significant test results in a large health care … - care-network Appropriate follow-up of abnormal test results remains a difficult issue. … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results

156. Implementation of electronic triggers to identify diagnostic errors in emergency departments. | PSNet
     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

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46544/psn-pdf
     September 12, 2018 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review … Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review … https://psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge- … systematic-review Test results pending at the time of hospital discharge can lead to a delay in diagnosis … certain electronic and educational interventions may improve documentation and awareness of pending test

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46215/psn-pdf
     June 14, 2017 - of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test … of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test … Test result management is a critical aspect of ambulatory patient safety. … These results underscore the need to develop interventions to enhance management of test results. … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36927/psn-pdf
     April 14, 2011 - The frequency of missed test results and associated treatment delays in a highly computerized health … The frequency of missed test results and associated treatment delays in a highly computerized health … a clinically significant delay in establishing a diagnosis for a patient due to missed or delayed test … missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

160. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
     August 01, 2012 - "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … Impact of an automated test results management system on patients' satisfaction about test result communication