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261. Diagnosing HIV-It Doesn't Take a Brain Surgeon | PSNet
     psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
     January 01, 2018 - This diagnosis prompted a HIV test that returned positive. … so may result in poor or inaccurate histories, and ultimately the lack of a trigger to order an HIV test … However, it's not enough to just test. … In the inpatient setting, protocols for routinely identifying previous HIV test results upon admission … Repeat screening for HIV: when to test and why. J Acquir Immune Defic Syndr. 2000;23:339-345.

262. 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

263. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
     February 18, 2009 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling. … February 18, 2009 Is the test result correct? … Improving Diagnostic Safety and Quality April 26, 2023 Laboratory test … request management and test tube labelling.

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49451/psn-pdf
     June 01, 2004 - The attending physician ordered a test for Clostridium difficile on Friday, and was then off for the … That night, the test result came back positive. … On Monday, the physician who originally ordered the C. difficile test returned to assess the patient … First, the physician ordered a C. difficile test but failed to look up the test result. … individual responsible for utilizing the test results when any test result indicates an imminent life-threatening

265. 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

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48083/psn-pdf
     August 07, 2019 - Contributing factors included failure or delay in test ordering or consultation. … These findings suggest that improving test results management and consultative processes may reduce … missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

267. Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet
     psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis
     March 23, 2012 - Related Resources From the Same Author(s) The safety implications of missed test … March 23, 2012 Failure to follow-up test results for ambulatory patients: a systematic … March 25, 2015 Patient groups, clinicians and healthcare professionals agree—all test … June 2, 2021 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications

268. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. | PSNet
     psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
     March 25, 2015 - March 25, 2015 The safety implications of missed test results for hospitalised patients … March 23, 2012 Failure to follow-up test results for ambulatory patients: a systematic … March 23, 2011 The effect of physicians' long-term use of CPOE on their test management … May 25, 2011 The delivery of safe and effective test result communication, management … May 27, 2011 The effect of physicians' long-term use of CPOE on their test management

269. 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

270. Amended Lab Results: Communication Slip | PSNet
     psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
     September 26, 2012 - Often the resident who ordered the original test is no longer in the hospital. … Several groups have developed best practice guidelines for communicating critical test results ( Figure … Communicating critical test results: safe practice recommendations. … Communicating critical test results: Creating a fail-safe process.( 5 ) … Communicating critical test results: safe practice recommendations.

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38416/psn-pdf
     February 18, 2009 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling. … Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling.

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47310/psn-pdf
     September 19, 2018 - Use of simulation to test systems and prepare staff for a new hospital transition. … Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. … https://psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition This … https://psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition https

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41398/psn-pdf
     May 30, 2012 - Development and test of a definition. May 30, 2012 Lisby M, Nielsen LP, Brock B, et al. … Development and test of a definition. … https://psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition … https://psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44559/psn-pdf
     April 15, 2016 - errors occurred in 35 of 100 reviewed cases, with the majority involving a breakdown in history-taking, test … ordering, or abnormal test result follow-up. … diagnostic-errors-related-acute-abdominal-pain-emergency-department https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44395/psn-pdf
     August 12, 2015 - how-well-do-health-professionals-interpret-diagnostic-information-systematic- review This review of the evidence on test … interpretation found that, across multiple studies, clinicians do not accurately interpret common measures of test … This suggests a role for decision support in this area which could better inform clinicians' test result … psnet.ahrq.gov/primer/computerized-provider-order-entry https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43352/psn-pdf
     July 16, 2014 - Despite prior studies highlighting the shortcomings of test results reporting, this patient safety issue … are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider 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

277. Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists. | PSNet
     psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president
     August 13, 2008 - Newspaper/Magazine Article Errors test openness at Beth Israel Deaconess. … Citation Text: Errors test openness at Beth Israel Deaconess. … Linkedin Copy URL Cite Citation Citation Text: Errors test

278. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
     December 22, 2008 - This article frames diagnostic errors and missed test results within the context of the Crossing the … January 24, 2018 Eight recommendations for policies for communicating abnormal test results … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49530/psn-pdf
     February 01, 2007 - throat, the urgent care physician swabbed the child's throat and performed a rapid antigen detection test … The "rapid strep test" was interpreted as negative. … Studies during the past 20 years indicate that the specificity (i.e., the ability of a positive test … , but a negative test does not rule out the infection. … In retrospect, the initial rapid test may have been negative due to a sampling issue.

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837791/psn-pdf
     August 05, 2022 - when appropriate, and to consider the expected occurrence of false positive results when interpreting test … Other loop closure failures, such as suboptimal communication, lack of test result management, and failure … Follow-up failures (i.e., incomplete or delayed communication of test results) have been documented … across a wide spectrum of abnormal test results. … Such failures could consist of clinicians overlooking abnormal, but non-life- threatening, test results