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  1. psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20Mismanagement%20of%20Acute%20Decompensated%20Heart%20Failure.pdf
    January 01, 2025 - Complete Post-Test Evaluation This project was funded under contract number 75Q80119C00004 from … completion requires the learner to complete all practice-based activity components including the post-test … Participants must receive a score of at least 80% on the post-test in order to receive credit. … The post-test may be taken up to two (2) times.
  2. psnet.ahrq.gov/issue/pediatric-clinician-perspectives-communicating-diagnostic-uncertainty
    January 23, 2019 - conclude that the variability in communicating diagnostic uncertainty signals a need to develop and test … September 28, 2016 Evaluating a mobile application for improving clinical laboratory test … March 11, 2020 A virtual breakthrough series collaborative for missed test results: a
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44179/psn-pdf
    November 20, 2015 - managers in the United Kingdom found that most practices expected patients to inquire about their test … This underscores the persistence of test results management as a safety vulnerability despite extensive … routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk https://psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36098/psn-pdf
    July 12, 2006 - Getting Results: Reliably Communicating and Acting on Critical Test Results. … https://psnet.ahrq.gov/issue/getting-results-reliably-communicating-and-acting-critical-test-results … articles and case studies on how health care organizations are improving communication of critical test … https://psnet.ahrq.gov/issue/getting-results-reliably-communicating-and-acting-critical-test-results
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38204/psn-pdf
    October 03, 2017 - Errors test openness at Beth Israel Deaconess. … https://psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital … https://psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president … https://psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49784/psn-pdf
    February 01, 2017 - 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 … 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
  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. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37473/psn-pdf
    December 27, 2014 - Communicating Critical Test Results. …   https://psnet.ahrq.gov/issue/communicating-critical-test-results-0 This set of materials provides … checklists, worksheets, and other aids to help implement a reliable critical test result communication … https://psnet.ahrq.gov/issue/communicating-critical-test-results-0 https://psnet.ahrq.gov/primer/checklists
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47692/psn-pdf
    May 29, 2019 - classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic … https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
  10. psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster
    April 09, 2013 - intervention or to receive triggers related to cancer diagnosis; each trigger was an abnormal diagnostic test … Delays in acting on abnormal test results are a known cause of adverse events. … Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test
  11. psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
    March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications … Assessment of quality of data provided on Pap test requisitions: implications for quality of care and … Assessment of quality of data provided on Pap test requisitions: implications for quality of care and … July 3, 2013 Failure to notify reportable test results: significance in medical malpractice
  12. psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
    September 16, 2020 - single-site study, 70% of patients discharged from a general medicine service had at least one pending test … August 15, 2018 Electronic detection of delayed test result follow-up in patients with … January 17, 2012 Management of test results in family medicine offices.
  13. psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
    September 26, 2012 - Study Using an objective structured clinical examination to test adherence to Joint … Using an Objective Structured Clinical Examination to test adherence to Joint Commission National Patient … Using an Objective Structured Clinical Examination to test adherence to Joint Commission National Patient
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36065/psn-pdf
    May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. … https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a chief medical information … https://psnet.ahrq.gov/issue/passing-yo-mama-test https://psnet.ahrq.gov/primer/computerized-provider-order-entry
  15. psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
    November 11, 2020 - Author(s) Application of human factors methods to understand missed follow-up of abnormal test … June 21, 2023 Electronic detection of delayed test result follow-up in patients with … September 28, 2016 Workarounds and test results follow-up in electronic health record–based … September 29, 2017 Graphical display of diagnostic test results in electronic health … March 19, 2018 Patient perceptions of receiving test results via online portals: a mixed-methods
  16. psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge
    March 04, 2015 - March 4, 2015 Patient safety concerns arising from test results that return after hospital … December 31, 2014 "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … September 14, 2011 Management of test results in family medicine offices. … , 2010 Frequency of failure to inform patients of clinically significant outpatient test
  17. psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
    March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: … 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.
  18. psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
    May 11, 2005 - resulted in 208 women receiving false negative results over a 4-year period from a publicly funded smear test … November 26, 2014 Do doctors understand test results? … See More About The Topic Hospitals Patients Medical Oncology Diagnostic Test
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44620/psn-pdf
    November 04, 2015 - laboratory-testing-general-practice-patient-safety-blind-spot Insufficient communication of laboratory test … Discussing poor communication regarding test results in primary care, this commentary advocates for … laboratory-testing-general-practice-patient-safety-blind-spot https://psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results … https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42437/psn-pdf
    September 04, 2013 - Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an … Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an … https://psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability … https://psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability

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