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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/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.

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. 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

285. 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

286. 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

287. 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

288. 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

289. 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.

290. 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

291. 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.

292. 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

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39262/psn-pdf
     March 04, 2011 - unintended-errors-ehr-based-result-management-case-series The authors identify errors that may occur with electronic test … unintended-errors-ehr-based-result-management-case-series https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

294. 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

295. 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.

296. Safety huddles to proactively identify and address electronic health record safety. | PSNet
     psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
     January 23, 2019 - October 26, 2011 Workarounds and test results follow-up in electronic health record–based … August 20, 2014 Electronic detection of delayed test result follow-up in patients with … March 19, 2018 Patient perceptions of receiving test results via online portals: a mixed-methods … April 12, 2019 How context affects electronic health record–based test result follow-up

297. 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

298. 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

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39108/psn-pdf
     November 18, 2009 - missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer- diagnosis This study identified process breakdowns, including failure to follow up on abnormal test … missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42510/psn-pdf
     August 21, 2013 - root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis- and-treatment Failure to properly follow up on test … a lack of systems to track patients needing urgent evaluation, insufficient follow-up of abnormal test … Although electronic medical records (EMRs) should facilitate responding to abnormal test results, prior … system-related-interventions-reduce-diagnostic-errors-narrative-review https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic