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1901. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - Their work uncovered significant usability problems with every system tested, across a wide array of

1902. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
      October 01, 2010 - * * Case: Dangerous Dialysis (3) The patient was tested for HIV and hepatitis viruses and was

1903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43977/psn-pdf
      November 16, 2015 - Patient perspectives on test result communication in primary care: a qualitative study. November 16, 2015 Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.3399/bjgp15X683929. https://ps…

1904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44620/psn-pdf
      November 04, 2015 - Laboratory testing in general practice: a patient safety blind spot. November 4, 2015 Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…

1905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40101/psn-pdf
      January 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge. January 17, 2012 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794. …

1906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49597/psn-pdf
      February 01, 2010 - but levels in the two types may overlap for up to a year following diagnosis.(13,16) Who should be tested … adolescents who are overweight or obese and have at least two additional risk factors for T2DM be tested

1907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45713/psn-pdf
      November 22, 2017 - Assigning responsibility to close the loop on radiology test results. November 22, 2017 Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. https://psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-t…

1908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35207/psn-pdf
      December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…

1909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34881/psn-pdf
      January 05, 2017 - Communicating critical test results: safe practice recommendations. January 5, 2017 Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r…

1910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43005/psn-pdf
      March 05, 2014 - "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. March 5, 2014 Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. J Patien…

1911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40236/psn-pdf
      March 23, 2012 - The safety implications of missed test results for hospitalised patients: a systematic review. March 23, 2012 Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339. https://ps…

1912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38741/psn-pdf
      June 24, 2009 - Frequency of failure to inform patients of clinically significant outpatient test results. June 24, 2009 Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10.1001/archinternmed.2009.130. https:…

1913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44047/psn-pdf
      September 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect…

1914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44477/psn-pdf
      October 14, 2015 - Field test of the World Health Organization Multi- professional Patient Safety Curriculum Guide. October 14, 2015 Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510. http…

1915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42857/psn-pdf
      January 15, 2014 - The landscape of inappropriate laboratory testing: a 15- year meta-analysis. January 15, 2014 Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta- analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962. https://psnet.ahrq.gov/issue/landscape-i…

1916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41175/psn-pdf
      December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…

1917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38817/psn-pdf
      April 04, 2011 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. April 4, 2011 Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…

1918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47340/psn-pdf
      February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. February 22, 2019 Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682. doi:10.1016/j.jc…

1919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47198/psn-pdf
      August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…

1920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40992/psn-pdf
      December 15, 2011 - Should patients get direct access to their laboratory test results?: An answer with many questions. December 15, 2011 Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.1001/jama.2011.1797. https://psnet.ahrq…