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461. 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.

462. Timing and interventions of emergency teams during the MERIT study. | PSNet
     psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
     June 02, 2010 - January 15, 2009 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. "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. | PSNet
     psnet.ahrq.gov/issue/team-time-out-and-surgical-safety-experiences-12390-neurosurgical-patients
     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.

465. 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.

466. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet
     psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
     November 12, 2014 - November 20, 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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46201/psn-pdf
     September 27, 2017 - The authors suggest that improving test result management, care coordination, and medical records may … preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46987/psn-pdf
     August 01, 2018 - staff across eight United Kingdom practices work together to fill prescription requests and manage test … receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

469. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
     September 01, 2015 - Appropriate Evaluation All women of childbearing age who present to the ED should have a urine pregnancy test … pubmed/17921006 10 Evaluation for Non-obstetric Causes After a history, physical examination, pregnancy test … nonpregnancy-related cause and triggered further investigations The patient should have had a pregnancy test … www.ncbi.nlm.nih.gov/pubmed/10819817 17 Diagnostic Testing for Appendicitis Ultrasound is the best test … patients If ultrasound is non-diagnostic and an MRI is not available, a CT scan with contrast is the best test

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49452/psn-pdf
     July 01, 2004 - She then proceeded to conduct a complete pin-prick skin sensitivity test on his back, which showed no … Armed with a form that showed his "Holter" test was negative, the patient walked back to his ward. … Upon his return, the patient told his ward nurse, "I've just finished the Holter test." … The nurse looked at the patient's back and realized that he had had an allergy test. … Holter" undergo the wrong test?

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41101/psn-pdf
     October 16, 2012 - diagnostic testing (e.g., overuse or underuse of tests); follow-up (e.g., failure to act on abnormal test … time-trends-pulmonary-embolism-united-states-evidence-overdiagnosis https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49469/psn-pdf
     December 01, 2004 - The obstetrician also entered laboratory test orders in the computerized order entry system for the … G may be concerned about the ramifications that a positive test might have on his access to, or costs … Giardiello and colleagues found that only 17% of patients who had a genetic test for familial adenomatous … would be to obtain consent from a woman at high risk of hereditary breast cancer before obtaining a test … As gene test menu grows, who gets to choose? New York Times. July 21, 2004.

473. 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

474. 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.

475. 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

476. 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.

477. 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.

478. 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

479. 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

480. 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