-
psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - A fecal
occult blood test was not performed. … Either a fecal
occult blood test or a fecal immunochemical test could have been performed to confirm … Video capsule endoscopy is generally the test of choice to
https://psnet.ahrq.gov//#references
https … First, it
led to a lapse in clinical reasoning regarding the value of the test. … Fecal occult blood test performance indicators in
warfarin-treated patients.
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - July 29, 2020
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.
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psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
January 12, 2022 - January 23, 2019
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.
-
psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - November 17, 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.
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psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
February 12, 2020 - January 18, 2013
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.
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psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
November 11, 2020 - Author(s)
Application of human factors methods to understand missed follow-up of abnormal test … July 1, 2017
Electronic detection of delayed test result follow-up in patients with hypothyroidism … September 28, 2016
Workarounds and test results follow-up in electronic health record–based
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psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
January 12, 2022 - January 7, 2015
Field test of the World Health Organization Multi-professional Patient … September 1, 2016
Impact of interactions between drugs and laboratory test results on … diagnostic test interpretation—a systematic review.
-
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
-
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
-
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.
-
psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - part of age-appropriate cancer screening, the primary care provider ordered a fecal
immunochemical test … His health insurance required
a 30% copayment for the test, which amounted to $2000 out-of-pocket. … indication for the colonoscopy was changed from diagnostic to preventive (for screening purposes), the test … (rather than a screening test), which means that
patients may be responsible for paying their entire … Find out if this amount could change based on what's found during the test.
-
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
-
psnet.ahrq.gov/issue/syndromic-surveillance-health-information-system-failures-feasibility-study
November 03, 2015 - March 13, 2019
Patient groups, clinicians and healthcare professionals agree—all test … December 31, 2014
Decoding laboratory test names: a major challenge to appropriate patient … November 26, 2014
Laboratory test ordering and results management systems: a qualitative … March 12, 2014
The safety implications of missed test results for hospitalised patients
-
psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
August 10, 2016 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test … request management and test tube labelling. … February 18, 2009
Is the test result correct? … March 13, 2019
Communicating Critical Test Results.
-
psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
October 18, 2023 - January 23, 2019
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.
-
psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication-prescribing
February 14, 2024 - February 14, 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.
-
psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - 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.
-
psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - The most frequently reported event continues to be Error
Related to Procedure/Treatment/Test followed … by Complication of Procedure/Treatment/Test, Medication
Error, and Fall.
-
psnet.ahrq.gov/node/44522/psn-pdf
June 21, 2016 - psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-
closed-loop
Test … documented communication between the interpreting radiologist and the treating physician for
abnormal test … testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
https://psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
-
psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-physician-order-entry
March 04, 2011 - February 14, 2024
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. … September 25, 2011
Passing the "Yo' Mama" test.