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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48116/psn-pdf
     July 17, 2019 - confidence in patient safety topics including medication safety and fall prevention improved on the post-test … compared to the pre-test, suggesting this modality has promise as a patient safety education tool.

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837421/psn-pdf
     June 15, 2022 - are-personal-health-records-phrs-facilitating-patient-safety-scoping-review Patient portals allow patients and their caregivers to read clinical notes, view test … are-personal-health-records-phrs-facilitating-patient-safety-scoping-review https://psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study

343. Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. | PSNet
     psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
     November 21, 2018 - Resources From the Same Author(s) 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.

344. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. | PSNet
     psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
     February 07, 2024 - February 7, 2024 Why test results are still getting "lost" to follow-up: a qualitative … November 1, 2023 Electronic Test Result Communication in the Era of the 21st Century … October 7, 2020 A virtual breakthrough series collaborative for missed test results:

345. Medical errors arising from outsourcing laboratory and radiology services. | PSNet
     psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
     October 19, 2022 - March 13, 2019 Communicating Critical Test Results. … December 27, 2014 The safety implications of missed test results for hospitalised patients … April 21, 2011 The frequency of missed test results and associated treatment delays in

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36907/psn-pdf
     September 14, 2012 - addition to the original list is that serious harm associated with failure to properly follow up on test … fire-safety https://psnet.ahrq.gov/web-mm/flying-object-hits-mri https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review https

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74728/psn-pdf
     February 02, 2022 - improve process measures in laboratory settings, such as order tracking, specimen processing, and test … effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking https://psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and

348. 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

349. A piece of my mind. Writing the wrong. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
     January 24, 2024 - August 15, 2018 Electronic detection of delayed test result follow-up in patients with … Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test … , 2011 Frequency of failure to inform patients of clinically significant outpatient test

350. Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. | PSNet
     psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
     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.

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38401/psn-pdf
     February 18, 2011 - by 1 year after implementation, clinicians felt that the EHR improved their ability to follow up on test … impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837634/psn-pdf
     July 06, 2022 - Similar to prior reports, Error Related to Procedure/Treatment/Test remained the most commonly reported … events, followed by Medication Error, Complication of Procedure/Treatment/Test, and Fall.

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60224/psn-pdf
     April 15, 2020 - demographics, admission/discharge dates and primary diagnoses, but less frequently included pending test … deficits-communication-and-information-transfer-between-hospital-based-and-primary-care https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

354. The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability. | PSNet
     psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest
     March 20, 2015 - The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest

355. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet
     psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
     November 21, 2018 - Resources From the Same Author(s) 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.

356. Using fault trees to advance understanding of diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
     November 11, 2020 - Author(s) Application of human factors methods to understand missed follow-up of abnormal test … March 11, 2009 Electronic Test Result Communication in the Era of the 21st Century Cures … July 24, 2024 A virtual breakthrough series collaborative for missed test results: a

357. Infant deaths associated with cough and cold medications—two states, 2005. | PSNet
     psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
     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.

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49727/psn-pdf
     March 01, 2015 - felt back to "normal" so the clinicians caring for her in an observation unit arranged for a stress test … When the patient arrived for her stress test, she reported feeling well with no further chest pain. … Approximately 3 minutes into her stress test, she collapsed and went into cardiac arrest. … and if applicable, the individual responsible for using the test results … How should a laboratory differentiate an individual requesting a test from an individual responsible

359. Crushing Chest Pain: A Missed Opportunity | PSNet
     psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
     February 01, 2007 - test itself and problems with interpretation. … A reliable blood test would be ideal to simplify the diagnosis of AD. … The post-test probability is calculated most easily using published nomograms. … Alternatively, the post-test probability can be calculated by multiplying the pre-test odds of disease … Post-test odds = Pre-test odds x Likelihood ratio Post-test odds = 1/3 X ( 5 Keep gathering

360. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. | PSNet
     psnet.ahrq.gov/issue/standardized-patient-identification-and-specimen-labeling-retrospective-analysis-improving
     October 19, 2022 - January 31, 2018 Clinical decision support improves the appropriateness of laboratory test … March 13, 2019 Communicating Critical Test Results. … December 27, 2014 Decoding laboratory test names: a major challenge to appropriate patient