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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846446/psn-pdf
     March 22, 2023 - Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test … Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test … In this study, researchers aimed to determine the accuracy of the GTT through a diagnostic test study

262. 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.

263. 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

264. 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

265. Ways to Improve Electronic Health Record Safety. | PSNet
     psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
     February 08, 2017 - This report recommends best practices , test case criteria, and sample test cases to help developers … May 13, 2015 How context affects electronic health record–based test result follow-up

266. 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

267. 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

268. 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

269. 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.

270. Resilient actions in the diagnostic process and system performance. | PSNet
     psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
     November 13, 2024 - Resources From the Same Author(s) A virtual breakthrough series collaborative for missed test … December 30, 2014 Why test results are still getting "lost" to follow-up: a qualitative … 2012 Application of human factors methods to understand missed follow-up of abnormal test … November 11, 2020 Graphical display of diagnostic test results in electronic health records

271. Pathologic Mistake | PSNet
     psnet.ahrq.gov/web-mm/pathologic-mistake
     February 15, 2010 - Preanalytic phase: clinician test selection, test ordering, specimen procurement, patient and specimen … Postanalytic phase: receipt of the test results by the clinician followed by clinician interpretation … of the test results, and clinical action based on that interpretation. … Active errors include heuristic biases related to diagnostic decision making and ancillary test ordering … December 22, 2008 Improving Papanicolaou test quality and reducing medical errors by

272. 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

273. 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

274. 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

275. 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

276. Electronic health record–related safety concerns: a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
     August 03, 2016 - common issues involved misleading data , incomplete patient orders, and failure to follow up abnormal test … Download Citation Related Resources From the Same Author(s) Workarounds and test … July 1, 2017 Electronic detection of delayed test result follow-up in patients with hypothyroidism … April 17, 2018 How context affects electronic health record–based test result follow-up

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37837/psn-pdf
     June 11, 2008 - testing-process-errors-and-their-harms-and-consequences-reported-family- medicine-practices Errors involving diagnostic test … Failure to follow up on test results has been linked to missed and delayed diagnoses and significant … Ranging from incorrect test ordering to failure to provide test results to clinicians and patients,

278. Follow-up tips for a safe, efficient practice. | PSNet
     psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
     July 23, 2010 - This article provides suggestions for physicians to ensure reliable follow-up on test results, including … View More Related Resources The delivery of safe and effective test … October 7, 2011 Notification of abnormal lab test results in an electronic medical record

279. Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet
     psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
     May 31, 2017 - Study 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. … Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition.

280. How should medication errors be defined? Development and test of a definition. | PSNet
     psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
     June 27, 2011 - Development and test of a definition. … Development and test of a definition. … Development and test of a definition.