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  1. 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
  2. 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
  3. psnet.ahrq.gov/issue/friends-and-family-test-qualitative-study-concerns-influence-willingness-english-national
    May 01, 2015 - Study The friends and family test: a qualitative study of concerns that influence … The friends and family test: a qualitative study of concerns that influence the willingness of English … The friends and family test: a qualitative study of concerns that influence the willingness of English
  4. psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
    April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility … 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
  5. 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
  6. 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.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - unlocking-solutions-imaging-working-together-learn-failings-nhs https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic … https://psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
  8. psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    May 05, 2025 - WebM&Ms (10) A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen … During an exercise treadmill test, she experienced another “woozy” spell and the ECG showed an elevated … A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen A. Martin, MD, EdM, Gordon D. … The in-house test returned as positive for SARS-CoV-2. … A root-cause analysis subsequently determined that the positive test run on the in-house platform was
  9. psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
    September 11, 2019 - September 22, 2021 Variation in electronic test results management and its implications … March 13, 2019 Patient groups, clinicians and healthcare professionals agree—all test … May 24, 2015 Communicating Critical Test Results.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38090/psn-pdf
    February 18, 2011 - delivered when the potential harm exceeds the potential benefit from a given medication, diagnostic test … This study surveyed more than 2300 Medicare beneficiaries and analyzed how frequently they wanted a test … a primary care doctor to manage their health, a significant number wanted a specialist referral or test
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38282/psn-pdf
    December 17, 2008 - reporting having visited a clinician who did not have access to all of their health information (including test … information-exchange-among-physicians-caring-same-patient-community https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Physicians named closer follow-up and reliable test management systems as major system improvements … medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
  13. 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
  14. psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
    April 10, 2024 - June 16, 2019 "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care. … Care Transition Failure July 1, 2011 Patient safety concerns arising from test
  15. psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - November 23, 2011 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.
  16. psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
    February 27, 2019 - November 23, 2011 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.
  17. psnet.ahrq.gov/issue/when-i-saydiagnostic-error
    January 26, 2022 - April 24, 2018 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.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60326/psn-pdf
    May 13, 2020 - To fully appreciate the implications of missed test notifications to reduce the risk of delayed diagnoses … preventing-diagnostic-errors-ambulatory-care-electronic-notification-tool-incomplete https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74073/psn-pdf
    November 17, 2021 - artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test … artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46979/psn-pdf
    January 01, 2021 - nine measures suitable for tracking two high-priority safety gaps: notifying patients of actionable test … psnet.ahrq.gov/primer/ambulatory-care-safety https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns

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