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281. Incomplete care—on the trail of flaws in the system. | PSNet
     psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
     February 17, 2011 - May 26, 2010 The need for closed-loop systems for management of abnormal test results … October 25, 2023 "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 … July 14, 2010 The management of test results in primary care: does an electronic medical

282. 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,

283. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
     November 03, 2015 - May 26, 2021 Electronic detection of delayed test result follow-up in patients with hypothyroidism … December 30, 2014 Laboratory test ordering and results management systems: a qualitative … Leads to Significant Complications February 1, 2013 The frequency of missed test … April 14, 2011 Direct reporting of laboratory test results to patients by mail to enhance … , 2011 Frequency of failure to inform patients of clinically significant outpatient test

284. Diagnostic Stewardship as a Model to Improve the Quality and Safety of Diagnosis. | PSNet
     psnet.ahrq.gov/issue/diagnostic-stewardship-model-improve-quality-and-safety-diagnosis
     January 15, 2025 - 2024 Deficiencies in Quality Management Processes and Delays in the Communication of Test … September 28, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed … Hospitals Ambulatory Clinic or Office Medicine Clinical Misdiagnosis Diagnostic Test

285. Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet
     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

286. Consequences of Medical Overuse | PSNet
     psnet.ahrq.gov/web-mm/consequences-medical-overuse
     May 05, 2021 - Describe why the likelihood of disease in a particular patient affects the interpretation of diagnostic test … The overordering of the troponin test is exacerbated by the fear of missing myocardial infarction (MI … "( 7 ) This problem with false positive test results can be demonstrated using a simple example. … In general, physicians perform poorly at such test interpretation. … Here we see how one inappropriately ordered test led to a chain of overuse.

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49856/psn-pdf
     March 01, 2019 - While on rounds, the intensivist planned to ask the respiratory therapist to test for a cuff leak prior … However, no formal order for a cuff leak test was placed. … Thus, it is unknown if 30 minutes is an adequate test for patients who have failed their first SBT or … Patients identified as being high risk for postextubation stridor with a failed cuff leak test will … Cuff-leak test for predicting postextubation airway complications: a systematic review.

288. Clinical information technologies and inpatient outcomes: a multiple hospital study. | PSNet
     psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study
     October 14, 2009 - July 5, 2017 Impact of interactions between drugs and laboratory test results on diagnostic … test interpretation—a systematic review. … November 21, 2018 Diagnostic error as a result of drug-laboratory test interactions. … February 13, 2019 Patient groups, clinicians and healthcare professionals agree—all test … December 18, 2013 Management of test results in family medicine offices.

289. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
     December 13, 2023 - December 13, 2023 Variation in electronic test results management and its implications … March 23, 2011 The delivery of safe and effective test result communication, management … June 14, 2017 Data quality associated with handwritten laboratory test requests: classification … 2017 The impact of health information technology on the management and follow-up of test

290. Pediatric clinician perspectives on communicating diagnostic uncertainty. | PSNet
     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

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45509/psn-pdf
     September 28, 2016 - computerized-triggers-big-data-detect-delays-follow-chest-imaging-results Insufficient follow-up of test … cases identified by the trigger tool and a reference set of cases involving patients with abnormal test … A WebM&M commentary discussed delayed follow-up of a diagnostic test. … computerized-triggers-big-data-detect-delays-follow-chest-imaging-results https://psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36184/psn-pdf
     June 13, 2011 - The chosen interventions were medication reconciliation and prompt communication of critical test results … successfully implemented medication reconciliation, and 65% implemented communication of critical test … psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations … https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations https

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40453/psn-pdf
     May 18, 2011 - Emerging test management systems and critical test follow-up practices are key elements of proposed … handoffs-and-signouts https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43340/psn-pdf
     July 23, 2014 - Do doctors understand test results? July 23, 2014 Kremer W. … https://psnet.ahrq.gov/issue/do-doctors-understand-test-results This magazine article reports how weaknesses … https://psnet.ahrq.gov/issue/do-doctors-understand-test-results

295. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet
     psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
     April 04, 2011 - Related Resources From the Same Author(s) Timely follow-up of abnormal diagnostic imaging test … April 4, 2011 How context affects electronic health record–based test result follow-up … December 3, 2014 Notification of abnormal lab test results in an electronic medical record … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … November 18, 2009 Ten strategies to improve management of abnormal test result alerts

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838222/psn-pdf
     September 28, 2022 - They said, “Oh you mean like take a test?” … For example, I have ordered the wrong test because I typed in the wrong thing. … s a different test or it’s not quite the one I wanted; it was a second test. … We did the blood test, and the blood test had a result. … , (2) getting the blood test, (3) the laboratory doing the test, (4) the laboratory reporting the test

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49417/psn-pdf
     October 01, 2003 - and cared for by a hospitalist, who suspected that the patient might have acute HIV and ordered a test … The test result (positive, with a viral load of 32,000 copies/mL) came back more than 1 week after the … However, the laboratory indicated that the batch was "defective" and the test needed to be rerun. … Neither the patient nor the primary care physician was notified that an HIV test was pending, so neither … of them followed up on this test result.

298. Lost in the Black Hole | PSNet
     psnet.ahrq.gov/web-mm/lost-black-hole
     December 01, 2005 - The test result (positive, with a viral load of 32,000 copies/mL) came back more than 1 week after the … However, the laboratory indicated that the batch was "defective" and the test needed to be rerun. … Neither the patient nor the primary care physician was notified that an HIV test was pending, so neither … of them followed up on this test result. … This case, in which a critical laboratory test result fell into the “black hole” that often separates

299. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
     psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
     January 07, 2022 - Due to the fact that more than one serologic test result is needed to interpretate positive results, … laboratory (VDRL) test, was the first test performed. 13 However, in the past decade, most laboratories … However, he was not notified of his own laboratory test results, which were—presumably—abnormal. … Create a system-wide process for reviewing and communicating all test results to patients, a process … that includes issuing alerts when test results have not been reviewed and acted upon by the ordering

300. Missing clinical information during primary care visits. | PSNet
     psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
     March 28, 2011 - September 27, 2010 Field test results of a new ambulatory care Medication Error and Adverse … June 16, 2019 "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … December 5, 2018 The need for closed-loop systems for management of abnormal test results … Seasonal Care Transition Failure July 1, 2011 Direct reporting of laboratory test