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461. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. | PSNet
     psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
     August 17, 2016 - June 3, 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.

462. Triggers for emergency team activation: a multicenter assessment. | PSNet
     psnet.ahrq.gov/issue/triggers-emergency-team-activation-multicenter-assessment
     March 05, 2010 - August 20, 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.

463. Understanding handling of drug safety alerts: a simulation study. | PSNet
     psnet.ahrq.gov/issue/understanding-handling-drug-safety-alerts-simulation-study
     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.

464. Surgical adverse outcome reporting as part of routine clinical care. | PSNet
     psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
     March 23, 2011 - September 9, 2015 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.

465. The use of simulation in emergency medicine: a research agenda. | PSNet
     psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
     December 30, 2008 - March 5, 2025 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.

466. Addressing the taboo of medical error through IGBOs: I got burnt once! | PSNet
     psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
     October 31, 2014 - September 30, 2015 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.

467. Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it? | PSNet
     psnet.ahrq.gov/issue/quality-improvement-healthcare-new-zealand-part-2-are-our-patients-safe-and-what-are-we-doing
     April 01, 2015 - June 25, 2014 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.

468. ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet
     psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
     June 12, 2018 - February 17, 2015 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.

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44494/psn-pdf
     June 21, 2016 - intervention or to receive triggers related to cancer diagnosis; each trigger was an abnormal diagnostic test … Delays in acting on abnormal test results are a known cause of adverse events.

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45754/psn-pdf
     September 01, 2018 - randomly selected primary care practices to address known areas of risk in ambulatory care, including test … psnet.ahrq.gov/issue/promises-project https://psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46450/psn-pdf
     August 20, 2018 - High-priority areas for measure development include timeliness of diagnosis, timely follow-up of test … qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39673/psn-pdf
     December 21, 2014 - relatively common, and may be precipitated by medication errors and failure to follow up on pending test … readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

473. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.170_slideshow.ppt
     March 01, 2008 - Physical examination revealed tachycardia and tenderness in the lumbosacral region; straight leg raising test … Sensitivity: the probability of testing positive if the disease is truly present; as the sensitivity of a test … Specificity: the probability of testing negative if the disease is truly absent; a highly specific test … Likelihood Ratios: the probability that a particular test result will occur in patients with disease … can be compared with the probability that the same test result will occur in patients without the disease

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37838/psn-pdf
     June 11, 2008 - more likely to be mitigated if they could be more easily detected by office staff—for example, if a test … mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family https://psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37004/psn-pdf
     July 08, 2008 - tying-loose-ends-discharging-patients-unresolved-medical-issues Hospitalized patients are frequently discharged with test … tying-loose-ends-discharging-patients-unresolved-medical-issues https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41175/psn-pdf
     December 31, 2014 - A past AHRQ WebM&M commentary discussed an adverse outcome that resulted from poor test follow-up after … design-and-implementation-automated-email-notification-system-results-tests-pending-discharge https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

477. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. | PSNet
     psnet.ahrq.gov/issue/influences-adoption-patient-safety-innovation-primary-care-qualitative-exploration-staff
     April 25, 2018 - November 20, 2015 Patient perspectives on test result communication in primary care: … November 16, 2015 Test result communication in primary care: a survey of current practice … November 20, 2015 Test result communication in primary care: clinical and office staff

478. Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial. | PSNet
     psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
     October 31, 2011 - February 26, 2020 Eight recommendations for policies for communicating abnormal test … November 4, 2015 The safety implications of missed test results for hospitalised patients … February 2, 2011 Timely follow-up of abnormal outpatient test results: perceived barriers

479. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet
     psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
     July 10, 2008 - February 15, 2011 Patient safety concerns arising from test results that return after … November 16, 2022 "I wish I had seen this test result earlier!" … : dissatisfaction with test result management systems in primary care.

480. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet
     psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
     April 11, 2011 - June 29, 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.