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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42734/psn-pdf
    November 13, 2013 - in an emergency department uncovered problems related to medication ordering, alert response, and test … /psnet.ahrq.gov/issue/patient-safety-emergency-medicine https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
  2. Psn-Pdf (pdf file)

    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.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41745/psn-pdf
    October 10, 2012 - of results to patients via email has been proposed as a strategy to prevent failure to follow up on test … email-communicating-results-diagnostic-medical-investigations-patients https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43005/psn-pdf
    March 05, 2014 - chance-favors-only-prepared-mind-preparing-minds-systematically-reduce- hazards-testing Unreliable test … result management systems and failure to follow-up on abnormal test results are common issues in ambulatory
  5. psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - 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.
  6. 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.
  7. 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
  8. Psn-Pdf (pdf file)

    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
  9. 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.
  10. 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.
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. 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
  14. Psn-Pdf (pdf file)

    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
  15. 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.
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33633/psn-pdf
    May 01, 2006 - Smith finds an unsigned abnormal Papanicolaou test result from 18 months ago. … week and orders diagnostic tests on 39% of them.(7) Between the time a physician decides to order a test … the same sheet, which is then copied; the copy is mailed to the patient with a generic laboratory test … Management of laboratory test results in family practice. An OKPRN study. … Test Results Main Page Figure 3.
  19. psnet.ahrq.gov/issue/reducing-diagnostic-errors-through-effective-communication-harnessing-power-information
    March 10, 2011 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … April 14, 2011 Timely follow-up of abnormal diagnostic imaging test results in an outpatient … February 15, 2011 Notification of abnormal lab test results in an electronic medical
  20. Psn-Pdf (pdf file)

    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

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