-
psnet.ahrq.gov/node/43069/psn-pdf
April 16, 2014 - finding
underscores the need for clear and standardized reporting to ensure correct interpretation of test … classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
-
psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
September 01, 2012 - View More
Related Resources
The delivery of safe and effective test … 2022
Application of human factors methods to understand missed follow-up of abnormal test … March 28, 2012
Direct reporting of laboratory test results to patients by mail to enhance
-
psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - there may be a greater role for laboratory professionals in the
diagnostic process beyond providing test … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
-
psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Patient safety concerns arising from test results that return after
hospital discharge. … : dissatisfaction with test result management systems in primary care. … Communicating critical test results: safe practice
recommendations. … Frequency of failure to inform patients of clinically significant
outpatient test results. … Management of test results in family medicine offices.
Ann Fam Med. 2009;7:343-351.
-
psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Although two clinicians dropped out of the study, the
remaining three improved Pap test quality and … improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
https://psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
-
psnet.ahrq.gov/node/47408/psn-pdf
September 19, 2018 - This report recommends best
practices, test case criteria, and sample test cases to help developers
-
psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - October 17, 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. … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest
-
psnet.ahrq.gov/node/43361/psn-pdf
July 16, 2014 - safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management … https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - authors identified concerns
around decision-making, recording information, and acting on abnormal test … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
-
psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - January 23, 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/node/49647/psn-pdf
February 01, 2012 - review, it was determined that the nature of this error centered upon the communication of an
amended test … Often the resident who ordered the original
test is no longer in the hospital. … Several groups have developed best practice guidelines for communicating critical test results (Figure … Communicating critical test results: safe practice
recommendations. … Communicating critical test
results: safe practice recommendations.
-
psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - The authors advocate for improved
systems to follow up on abnormal test results. … questionable-hospital-chart-documentation-practices-physicians
https://psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
-
psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - While on rounds, the intensivist planned to ask the respiratory therapist to test for a cuff leak prior … However, no formal order for a cuff leak test was placed. … place an order for cuff leak and had assumed that the respiratory therapist would know to perform the test … Thus, it is unknown if 30 minutes is an adequate test for patients who have failed their first SBT or … Cuff-leak test for predicting postextubation airway complications: a systematic review.
-
psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
December 31, 2014 - May 26, 2021
The need for closed-loop systems for management of abnormal test results … December 3, 2014
An initiative to improve the management of clinically significant test … June 13, 2012
The safety implications of missed test results for hospitalised patients
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Preanalytic phase: clinician test selection, test ordering, specimen procurement, patient and
specimen … Postanalytic phase: receipt of the test results by the clinician followed by clinician interpretation … of
the test results, and clinical action based on that interpretation. … Active errors include heuristic biases related to diagnostic decision making and ancillary test
ordering … and pertinent clinical information, procuring high-quality
specimens, providing timely follow-up on test
-
psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
June 17, 2014 - December 12, 2012
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/45836/psn-pdf
July 02, 2017 - improving-patient-safety-avoiding-unread-imaging-exams-national-va-
enterprise-electronic
Inadequate test … improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
-
psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - November 16, 2022
Variation in electronic test results management and its implications … March 25, 2015
Management of test results in family medicine offices. … April 12, 2011
Patient safety concerns arising from test results that return after hospital
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - *
*
Although these test results became available 2 days after the patient’s discharge, they … Patient safety concerns arising from test results that return after hospital discharge. … : dissatisfaction with test result management systems in primary care. … Frequency of failure to inform patients of clinically significant outpatient test results. … Management of test results in family medicine offices.
-
psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - This diagnosis prompted a HIV test that returned positive. … so may result in poor
or inaccurate histories, and ultimately the lack of a trigger to order an HIV test … However, it's not enough to just test. … In the inpatient setting, protocols for routinely identifying previous HIV test results upon
admission … Repeat screening for HIV: when to test and why. J Acquir Immune Defic Syndr.
2000;23:339-345.