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301. 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.

302. 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

303. 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

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867206/psn-pdf
     December 18, 2024 - The HINTS exam, first described in 2009, includes three bedside oculomotor tests: head impulse test … (HIT), nystagmus (N), and test of skew (TS). … Brief description Reassuring findinga Worrisome findingb Head impulse test Test of the VOR, only … Presence of a corrective saccade Absence of a corrective saccade Nystagmus Test for spontaneous … of Skew Use of alternate cover test to look for a vertical correction of gaze on uncovering one eye

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851389/psn-pdf
     July 31, 2023 - results has grown over the last decade, as it can lead to delays in the recognition of abnormal test … delay in cancer treatment is associated with increased mortality.4 Failure to recognize an abnormal test … Specifically, they investigated radiologist follow-up recommendations and colonoscopy test follow-up … after abnormal test results to design a lung cancer safety net and a colon cancer safety net.1 The … Getting Started with This Innovation Deploying a small pilot program to test minor changes prior to

306. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
     January 01, 2024 - (5) The HINTS exam, first described in 2009, includes three bedside oculomotor tests: Head impulse test … (HIT) Nystagmus (N) Test of skew (TS) A fourth component, a bedside test of hearing by finger rub, … HINTS-Plus Examination (for patients with ongoing dizziness and nystagmus) Test Brief description … Reassuring findinga Worrisome findingb Head impulse test Test of the VOR, only useful in patients who … of Skew Use of alternate cover test to look for a vertical correction of gaze on uncovering one eye

307. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet
     psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
     September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug … Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System- … Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System-

308. 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.

309. 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

310. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/impact-commercial-computerized-provider-order-entry-cpoe-and-clinical-decision-support
     August 26, 2020 - July 27, 2018 Patient groups, clinicians and healthcare professionals agree—all test … May 22, 2013 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications … 2020 The impact of health information technology on the management and follow-up of test

311. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. | PSNet
     psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide
     June 13, 2011 - The chosen interventions were medication reconciliation and prompt communication of critical test … hospitals successfully implemented medication reconciliation, and 65% implemented communication of critical test … February 18, 2011 Communicating critical test results: safe practice recommendations.

312. Tying up loose ends: discharging patients with unresolved medical issues. | PSNet
     psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
     February 24, 2011 - Hospitalized patients are frequently discharged with test results or diagnostic workups pending, with … No News May Not Be Good News August 1, 2012 Follow-up of outpatient test … December 7, 2009 Timely follow-up of abnormal outpatient test results: perceived barriers

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38365/psn-pdf
     July 24, 2009 - electronic-results-management-pediatric-ambulatory-care-qualitative- assessment Implementation of information technology solutions for following up on test … electronic-results-management-pediatric-ambulatory-care-qualitative-assessment https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866319/psn-pdf
     July 17, 2024 - psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions A common way to test … European Society for Medical Oncology (ESMO), and original questions constructed by the study team to test

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866434/psn-pdf
     August 07, 2024 - use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department https://psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition … https://psnet.ahrq.gov/issue/commissioning-simulations-test-new-healthcare-facilities-proactive-and-innovative-approach

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61106/psn-pdf
     November 04, 2020 - https://psnet.ahrq.gov/issue/why-false-positives-merit-concern-too False-positive test results, while … This news story discusses negative impacts of a false-positive COVID test.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40697/psn-pdf
     October 31, 2011 - real-time-automated-paging-and-decision-support-critical-laboratory- abnormalities In this study, clinicians were notified in real time about critical lab test … However, this intervention did not prevent adverse events attributable to the critical test results, … real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations

318. Non-emergency patient transport: what are the quality and safety issues? A systematic review. | PSNet
     psnet.ahrq.gov/issue/non-emergency-patient-transport-what-are-quality-and-safety-issues-systematic-review
     June 27, 2012 - May 25, 2011 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications … 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 … June 14, 2019 Patient groups, clinicians and healthcare professionals agree—all test

319. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet
     psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
     August 19, 2016 - May 25, 2011 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications … 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 … June 14, 2019 Patient groups, clinicians and healthcare professionals agree—all test

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44942/psn-pdf
     September 29, 2017 - challenges-patient-safety-improvement-research-era-electronic-health-records Using a case study on missed and delayed follow-up of test … challenges-patient-safety-improvement-research-era-electronic-health-records https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary