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381. Psn-Pdf (pdf file)
     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.

382. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
     January 01, 2022 - . – However, the sensitivity of a single stool test for detecting larvae is only 30%, and even with … multiple specimens reaches only 70-80%. – Therefore, screening using an antibody test from a sample … blood is preferred because of its greater sensitivity and specificity, and a positive serological test … raised suspicion of a potential parasitic infection. – Recognizing and following up on this abnormal test … An antibody test is preferred for ruling out infection.

383. Psn-Pdf (pdf file)
     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.

384. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache | PSNet
     psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
     February 08, 2023 - The Physical Examination Ideally, the physical examination should be used to test hypotheses generated … The HINTS exam, first described in 2009, includes three bedside oculomotor tests: head impulse test ( … HIT), nystagmus (N), and test of skew (TS). … finding a Worrisome finding b Head impulse test Test of the VOR, only useful in patients who have spontaneous … of Skew Use of alternate cover test to look for a vertical correction of gaze on uncovering one eye

385. Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. | PSNet
     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.

386. Clinical reasoning in the context of active decision support during medication prescribing. | PSNet
     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.

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40800/psn-pdf
     December 09, 2014 - complaints and adherence to recommendations), office tempo (including the availability of clinicians and test … /psnet.ahrq.gov/primer/patient-engagement-and-safety https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

388. The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet
     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.

389. Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. | PSNet
     psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
     September 27, 2023 - Related Resources From the Same Author(s) The delivery of safe and effective test … December 21, 2017 Variation in electronic test results management and its implications … August 19, 2020 Can patients contribute to enhancing the safety and effectiveness of test-result

390. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. | PSNet
     psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma
     July 19, 2023 - 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?

391. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-294
     June 30, 2021 - Study Can patients contribute to enhancing the safety and effectiveness of test-result … Missed or failure to follow up on test results threatens patient safety. … This qualitative study used volunteers to explore consumer perspectives related to test result management … Study Can patients contribute to enhancing the safety and effectiveness of test-result … Missed or failure to follow up on test results threatens patient safety.

392. Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet
     psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
     July 16, 2013 - November 13, 2024 The delivery of safe and effective test result communication, management … Related Resources Implementing a safer and more reliable system to monitor test … November 1, 2023 Interventions to improve follow-up of laboratory test results pending … , 2013 Frequency of failure to inform patients of clinically significant outpatient test

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40628/psn-pdf
     July 20, 2011 - issue/entire-upmc-transplant-team-missed-hepatitis-alert This newspaper article reports how a missed test … entire-upmc-transplant-team-missed-hepatitis-alert https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns

394. Psn-Pdf (pdf file)
     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.

395. A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. | PSNet
     psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and
     May 25, 2011 - August 26, 2020 Data quality associated with handwritten laboratory test requests: classification … November 18, 2015 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications … 2016 The impact of health information technology on the management and follow-up of test

396. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet
     psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
     May 13, 2020 - June 1, 2022 Closing the loop on test results to reduce communication failures: a rapid … March 13, 2019 The safety implications of missed test results for hospitalised patients … Professionals Hematology Pathology and Laboratory Medicine Pediatric Hematology Diagnostic Test

397. Unintended consequences of patient online access to health records: a qualitative study in UK primary care. | PSNet
     psnet.ahrq.gov/issue/unintended-consequences-patient-online-access-health-records-qualitative-study-uk-primary
     February 02, 2022 - February 2, 2022 'I guess I'll wait to hear'- communication of blood test results in … February 2, 2022 Workarounds and test results follow-up in electronic health record–based … May 4, 2011 The management of test results in primary care: does an electronic medical

398. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
     May 17, 2023 - May 22, 2024 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … March 13, 2019 Understanding test results follow-up in the ambulatory setting: analysis … Ambulatory Clinic or Office Health Care Executives and Administrators Public Health Diagnostic Test

399. Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet
     psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
     August 19, 2020 - January 15, 2025 Patient safety in actioning and communicating blood test results in … March 22, 2023 'I guess I'll wait to hear'- communication of blood test results in primary … June 30, 2021 Test result communication in primary care: clinical and office staff perspectives

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38992/psn-pdf
     April 16, 2018 - safe-patient-outcomes-occur-timely-standardized-communication-critical- values This article reports on failures surrounding critical test … safe-patient-outcomes-occur-timely-standardized-communication-critical-values https://psnet.ahrq.gov/issue/communicating-critical-test-results