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  1. 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
  2. psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - 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. … The type of test—radiological, biochemical, microbiological, tissue pathology, etc. … CLIA program and HIPAA privacy rule; patients' access to test reports. … Develop electronic systems that track test results 6.
  3. 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).
  4. 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.
  5. psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
    November 26, 2014 - Test result notification is a longstanding patient safety problem. … documented communication between the interpreting radiologist and the treating physician for abnormal test … Four-year impact of an alert notification system on closed-loop communication of critical test … March 30, 2022 An initiative to improve the management of clinically significant test … March 25, 2015 Timely follow-up of abnormal outpatient test results: perceived barriers
  6. 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.
  7. psnet.ahrq.gov/issue/between-demarcation-and-discretion-medical-administrative-boundary-locus-safety-high-volume
    June 14, 2017 - staff across eight United Kingdom practices work together to fill prescription requests and manage test … role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test … role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test … May 25, 2016 System hazards in managing laboratory test requests and results in primary
  8. psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
    June 11, 2014 - recommended—in contrast to data from prior studies —and as a result, the reminders did not appreciably increase test … June 8, 2016 "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39986/psn-pdf
    November 10, 2010 - impact-health-information-technology-interventions-improve-medication- laboratory-monitoring Failure to follow up on test … this systematic review found only modest published evidence linking EHR use to improved laboratory test … The authors conclude that further research will be required to develop optimal test management systems … impact-health-information-technology-interventions-improve-medication-laboratory-monitoring https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary … https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
  11. psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - Specifically, availability affects how healthcare providers estimate the pre-test or prior probability … estimates after new findings appear or new test results become available. … results (also known as post-test or posterior probabilities). … Cochrane COVID-19 Diagnostic Test Accuracy Group. … Evaluation of rapid antigen test for detection of SARS-CoV-2 virus. 
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39237/psn-pdf
    April 14, 2011 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records- trust-verify-test … with an electronic reminder system resulted in failure to follow up many abnormal fecal occult blood test … psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865529/psn-pdf
    April 10, 2024 - A biased test kept thousands of Black people from getting a kidney transplant. … https://psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant Historical … https://psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant https:
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - Specifically, availability affects how healthcare providers estimate the pre-test or prior probability … estimates after new findings appear or new test results become available. … A negative antigen-based self-test result may represent a false-negative; for this reason, some kits … results (also known as post-test or posterior probabilities). … Cochrane COVID-19 Diagnostic Test Accuracy Group.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44052/psn-pdf
    July 16, 2015 - Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems … Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems … https://psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison … synthesizing patient data over time—for example, by providing graphs showing changes in serial laboratory test … https://psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46579/psn-pdf
    April 11, 2018 - Electronic medicine can send you test results quickly. But what if they're scary? … https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary … Although providing patients with access to physician notes and test results supports transparency and … newspaper article reports on unintended psychological stresses associated with direct patient access to test … https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43719/psn-pdf
    November 26, 2014 - Four-year impact of an alert notification system on closed-loop communication of critical test results … Four-year impact of an alert notification system on closed- loop communication of critical test results … psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical- test-results … The communication of critical test results is a National Patient Safety Goal. … /psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. … Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. … https://psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary … found that nearly half of providers at Veterans Affairs medical centers use workarounds when managing test … https://psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45360/psn-pdf
    July 27, 2016 - primary care, yet primary care practices still lack standard processes to detect and manage abnormal test … In this study, investigators identified specific abnormal test results requiring follow-up and tested … an escalating strategy of communicating with primary care physicians about test results. … The study team first sent a secure email with test results to providers, and if the appropriate diagnostic … However, even with this patient-specific communication intervention, follow-up of abnormal test results
  20. psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
    January 17, 2024 - This study aimed to determine rates of diagnostic test referral completion between patients of resident … March 5, 2025 Patient safety in actioning and communicating blood test results in primary … Improving Diagnostic Safety and Quality April 26, 2023 Test

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