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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42106/psn-pdf
     December 21, 2014 - Information overload and missed test results in electronic health record–based settings. … Information overload and missed test results in electronic health record-based settings. … https://psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based … - settings Prior research has shown that delayed follow-up of test results is still common even within … https://psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46566/psn-pdf
     June 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. … A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. … https://psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge In … https://psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge https … ://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

183. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet
     psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
     November 12, 2008 - Study Accuracy of send-out test ordering: a College of American Pathologists Q-Probes … Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy … Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy … June 21, 2023 Adherence to national guidelines for timeliness of test results communication … December 15, 2011 Direct reporting of laboratory test results to patients by mail to

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35207/psn-pdf
     December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. … Patient safety concerns arising from test results that return after hospital discharge. … https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge … more than 2600 discharged patients from two hospitalist services to capture the number and types of test … Investigators discovered that nearly 40% of patients enrolled had a pending lab or radiology test with

185. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
     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

186. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet
     psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
     December 18, 2024 - Each measure used data from the electronic health record (EHR) to identify abnormal test results, evidence … December 18, 2024 Electronic detection of delayed test result follow-up in patients with … , 2011 Frequency of failure to inform patients of clinically significant outpatient test

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49675/psn-pdf
     February 01, 2013 - Describe some steps that might reduce the harm from failure to act on abnormal test results. … As part of the evaluation for her vaginal bleeding, a chlamydia test was performed in the ED. … This test returned positive the day after the patient was discharged. … CLIA program and HIPAA privacy rule; patients' access to test reports. … Develop electronic systems that track test results 6.

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44477/psn-pdf
     October 14, 2015 - Field test of the World Health Organization Multi- professional Patient Safety Curriculum Guide. … Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. … https://psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety- … improved significantly, but overall scores were still quite poor (20.8% correct answers on the post-test … versus 10.7% on the pre-test).

189. Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet
     psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
     September 01, 2012 - integrated electronic medical records reported the need for a back-up tracking system to ensure important test … May 26, 2021 The need for closed-loop systems for management of abnormal test results … July 27, 2016 System hazards in managing laboratory test requests and results in primary … March 4, 2015 Laboratory test ordering and results management systems: a qualitative … News May Not Be Good News August 1, 2012 The safety implications of missed test

190. Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. | PSNet
     psnet.ahrq.gov/issue/commissioning-simulations-test-new-healthcare-facilities-proactive-and-innovative-approach
     September 30, 2020 - Commentary Commissioning simulations to test new healthcare facilities: a proactive … Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare … Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43987/psn-pdf
     March 25, 2015 - emergency-physicians-views-direct-notification-laboratory-and-radiology- results-patients Providing test … in which enhanced patient engagement could improve safety, as failure to appropriately follow up on test … The majority of physicians expressed discomfort with patients having direct access to test results, … More physicians supported providing patients with direct access to normal test results than abnormal … test results, mirroring the findings of a prior survey of primary care providers.

192. Measuring the rate of manual transcription error in outpatient point-of-care testing. | PSNet
     psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
     August 20, 2018 - Point-of-care test results are often manually transcribed into the electronic health record , which … August 28, 2019 Patient groups, clinicians and healthcare professionals agree—all test … December 19, 2018 Communicating Critical Test Results. … December 27, 2014 Decoding laboratory test names: a major challenge to appropriate patient … September 30, 2011 Management of test results in family medicine offices.

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47198/psn-pdf
     August 22, 2018 - https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results … Developing optimal test result management systems is essential for closing the loop so that results … identify how technology can be used to facilitate improved communication and timely action regarding test … Recommendations include improving communication by standardizing the format of test results, including … A past WebM&M commentary discussed a case involving ambulatory test result management.

194. Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. | PSNet
     psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
     October 27, 2021 - All 12 test sites were able to successfully implement the trigger and identify appropriate cases. … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … March 10, 2011 Timely follow-up of abnormal outpatient test results: perceived barriers

195. Point-of-care testing, medical error, and patient safety: a 2007 assessment. | PSNet
     psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
     February 01, 2017 - improving the reliability of POCT results, and call on clinicians to do their part by responding to test … February 25, 2019 Communicating Critical Test Results. … December 22, 2010 Improving Papanicolaou test quality and reducing medical errors by … Health Care Providers Clinical Technologists Pathology and Laboratory Medicine Diagnostic Test

196. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - part of age-appropriate cancer screening, the primary care provider ordered a fecal immunochemical test … His health insurance required a 30% copayment for the test, which amounted to $2000 out-of-pocket. … cancer screening process after a positive FIT, the primary care provider changed the indication for the test … (rather than a screening test), which means that patients may be responsible for paying their entire … Find out if this amount could change based on what's found during the test.

197. Building an ambulatory safety program at an academic health system. | PSNet
     psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
     April 22, 2016 - academic health system that targeted reporting, safety culture measurement , medication safety, and test … 2024 Deficiencies in Quality Management Processes and Delays in the Communication of Test … March 13, 2019 Understanding test results follow-up in the ambulatory setting: analysis … Screening Tool: Delayed Treatment September 1, 2017 Communicating Critical Test … About The Topic Ambulatory Care Quality and Safety Professionals Medicine Diagnostic Test

198. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet
     psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
     April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … March 13, 2019 Communicating Critical Test Results. … December 22, 2010 Follow-up of outpatient test results: a survey of house-staff practices

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41006/psn-pdf
     December 21, 2011 - Failure to notify reportable test results: significance in medical malpractice. … Failure to notify reportable test results: significance in medical malpractice. … https://psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice … 18-year period identified more than 300 cases of malpractice attributable to failure to communicate test … https://psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice

200. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet
     psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
     December 03, 2014 - Entering pathology test results into the wrong patient’s record but discovering the error before the … November 11, 2020 Closing the loop on test results to reduce communication failures: … View More Related Resources The delivery of safe and effective test … Quality April 26, 2023 Adherence to national guidelines for timeliness of test … February 2, 2022 Eight recommendations for policies for communicating abnormal test results