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  1. psnet.ahrq.gov/issue/advocate-redi-code-blood-glucose-test-strips-diabetic-supply-suncoast-recall-labeling-error
    August 05, 2020 - Government Resource Advocate Redi-Code+ blood glucose test strips by Diabetic Supply … This announcement describes a recall of blood glucose test strips due to missing information on the label … that could result in accidental misuse of test strips and potential delays in diagnosis and treatment
  2. psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
    August 07, 2019 - Study Evaluating a mobile application for improving clinical laboratory test ordering … Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. … Centers for Disease Control and Prevention improved clinician decision-making about anticoagulation test … Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. … May 20, 2020 A virtual breakthrough series collaborative for missed test results: a stepped-wedge
  3. psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
    September 20, 2011 - Classic Timely follow-up of abnormal diagnostic imaging test … Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic … Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic … Related Resources From the Same Author(s) Notification of abnormal lab test … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test
  4. psnet.ahrq.gov/issue/follow-outpatient-test-results-survey-house-staff-practices-and-perceptions
    July 14, 2010 - Study Follow-up of outpatient test results: a survey of house-staff practices and … Follow-up of outpatient test results: a survey of house-staff practices and perceptions. … Follow-up of outpatient test results: a survey of house-staff practices and perceptions. … December 22, 2010 Improving Papanicolaou test quality and reducing medical errors by … January 20, 2010 Patient safety concerns arising from test results that return after
  5. psnet.ahrq.gov/issue/getting-results-reliably-communicating-and-acting-critical-test-results
    May 24, 2015 - Book/Report Getting Results: Reliably Communicating and Acting on Critical Test Results … Citation Text: Getting Results: Reliably Communicating and Acting on Critical Test Results. … articles and case studies on how health care organizations are improving communication of critical test … Citation Citation Text: Getting Results: Reliably Communicating and Acting on Critical Test … June 16, 2021 A systematic review of interventions to follow-up test results pending
  6. psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
    August 20, 2014 - Study Workarounds and test results follow-up in electronic health record–based primary … Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. … Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. … August 20, 2014 Electronic detection of delayed test result follow-up in patients with … July 1, 2017 How context affects electronic health record–based test result follow-up
  7. psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
    June 21, 2016 - Four-year impact of an alert notification system on closed-loop communication of critical test … Four-year impact of an alert notification system on closed-loop communication of critical test results … The communication of critical test results is a National Patient Safety Goal . … Four-year impact of an alert notification system on closed-loop communication of critical test results … June 21, 2016 An initiative to improve the management of clinically significant test
  8. psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
    March 23, 2012 - safety, as failure to appropriately follow up on test results is a recognized cause of diagnostic errors … this survey examines the attitudes of Australian emergency physicians regarding direct provision of test … More physicians supported providing patients with direct access to normal test results than abnormal … test results, mirroring the findings of a prior survey of primary care providers. … March 23, 2012 Failure to follow-up test results for ambulatory patients: a systematic
  9. psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
    February 07, 2024 - Participants identified several areas for improvement, including missing test results and inaccuracies … January 15, 2025 Patient safety in actioning and communicating blood test results in … October 2, 2024 Implementing a safer and more reliable system to monitor test results … November 1, 2023 'I guess I'll wait to hear'- communication of blood test results in … September 1, 2016 Management of test results in family medicine offices.
  10. psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
    November 07, 2018 - Commentary Implementing a safer and more reliable system to monitor test results … Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated … January 15, 2025 Patient safety in actioning and communicating blood test results in … September 1, 2016 The frequency of missed test results and associated treatment delays … April 14, 2011 Management of test results in family medicine offices.
  11. psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
    March 13, 2013 - Newspaper/Magazine Article Electronic medicine can send you test results quickly. … Citation Text: Electronic medicine can send you test results quickly. But what if they're scary? … Although providing patients with access to physician notes and test results supports transparency and … newspaper article reports on unintended psychological stresses associated with direct patient access to test … Cite Citation Citation Text: Electronic medicine can send you test
  12. psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
    November 20, 2015 - This underscores the persistence of test results management as a safety vulnerability despite extensive … November 20, 2015 Patient perspectives on test result communication in primary care: … November 16, 2015 Test result communication in primary care: clinical and office staff … November 20, 2015 Patient perspectives on test result communication in primary care: … August 26, 2015 Test result communication in primary care: clinical and office staff
  13. psnet.ahrq.gov/issue/data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
    September 27, 2023 - Study Data quality associated with handwritten laboratory test requests: classification … Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry … Related Resources From the Same Author(s) The delivery of safe and effective test … May 25, 2011 Variation in electronic test results management and its implications for … June 14, 2019 Patient groups, clinicians and healthcare professionals agree—all test
  14. psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
    September 04, 2024 - Despite prior studies highlighting the shortcomings of test results reporting, this patient safety … March 13, 2019 Electronic detection of delayed test result follow-up in patients with … December 3, 2014 Decoding laboratory test names: a major challenge to appropriate patient … November 26, 2014 An initiative to improve the management of clinically significant test … December 5, 2013 The safety implications of missed test results for hospitalised patients
  15. psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - Copy URL April 16, 2018 This article reports on failures surrounding critical test … Related Resources Advancing safety with closed-loop communication of test … Critical Opportunity Lost March 1, 2015 Communicating Critical Test … December 27, 2014 The safety implications of missed test results for hospitalised patients
  16. psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - This review of the evidence on test interpretation found that, across multiple studies, clinicians do … not accurately interpret common measures of test accuracy such as likelihood ratios. … This suggests a role for decision support in this area which could better inform clinicians' test … Resources From the Same Author(s) 'I guess I'll wait to hear'- communication of blood test … July 29, 2020 Patient safety in actioning and communicating blood test results in primary
  17. psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
    April 24, 2018 - Study Decoding laboratory test names: a major challenge to appropriate patient care … Decoding laboratory test names: a major challenge to appropriate patient care. … A prior study found a significant incidence of incorrect test ordering, despite use of a computerized … Decoding laboratory test names: a major challenge to appropriate patient care. … January 7, 2015 Communicating Critical Test Results.
  18. psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
    June 21, 2016 - Gaps in follow-up of abnormal test results are known to contribute to delays in diagnosis in primary … In this study, investigators identified specific abnormal test results requiring follow-up and tested … an escalating strategy of communicating with primary care physicians about test results. … However, even with this patient-specific communication intervention, follow-up of abnormal test results … June 21, 2016 A virtual breakthrough series collaborative for missed test results: a
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866864/psn-pdf
    October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using … Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using … https://psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care … - uk-wide-audit Failure to communicate test results in a timely manner can lead to delayed or missed … -21st-century-cures-act https://psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
  20. psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
    November 11, 2020 - Using a case study on missed and delayed follow-up of test results, this commentary explores challenges … November 11, 2020 Electronic detection of delayed test result follow-up in patients with … September 28, 2016 Graphical display of diagnostic test results in electronic health … June 21, 2023 Workarounds and test results follow-up in electronic health record–based … December 18, 2013 Ten strategies to improve management of abnormal test result alerts

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