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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73252/psn-pdf
     January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72509/psn-pdf
     November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. November 25, 2020 Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.…

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836724/psn-pdf
     March 09, 2022 - When no news is bad news: improving diagnostic testing communication through patient engagement. March 9, 2022 Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224. doi:10.1177/251604352…

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854818/psn-pdf
     October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49784/psn-pdf
     February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care February 1, 2017 Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care The Case A 23-year-old woman presented to the family medicine clinic for…

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60826/psn-pdf
     August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020 Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49822/psn-pdf
     March 01, 2018 - A retrospective study of 1300 patients with acute VTE found that 24% were tested for thrombophilia, … even though only 25% of tested patients met the eligibility criteria for testing.(10) Thrombophilia

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61120/psn-pdf
     November 11, 2020 - Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537. http…

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837771/psn-pdf
     August 03, 2022 - 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. August 3, 2022 Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;72(723):e747-e754. doi:10.3399/bjg…

430. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
     August 01, 2006 - the United States, internists can become board certified without having their skills at the bedside tested

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33800/psn-pdf
     January 01, 2015 - Their work uncovered significant usability problems with every system tested, across a wide array of

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33671/psn-pdf
     July 01, 2008 - JAMA article suggest that a new incident investigation model is needed: one that has been adequately tested

433. Pharmacist's Role in Medication Safety | PSNet
     psnet.ahrq.gov/primer/pharmacists-role-medication-safety
     March 14, 2018 - controlled trial of a pharmacist-led intervention in primary care practices in the United Kingdom tested

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47825/psn-pdf
     March 06, 2019 - Diagnostic error as a result of drug-laboratory test interactions. March 6, 2019 van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug- laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. https://psnet.ahrq.gov/issue/diagnostic-err…

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73703/psn-pdf
     September 15, 2021 - To expand the evidence base about harms from tests and treatments. September 15, 2021 Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. https://psnet.ahrq.gov/issue/expand-evidence-b…

436. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
     May 01, 2018 - Spotlight Spotlight Out of Sight, Out of Mind: Out-of-Office Test Result Management 1 Source and Credits This presentation is based on the May 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Eric Poon, MD, MPH, Duke University School o…

437. 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…

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49828/psn-pdf
     May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result Management May 1, 2018 Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management Case Objectives Recognize the general responsibilities of…

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49807/psn-pdf
     October 01, 2017 - Accuracy of Machine Translation Machine translation has not been tested extensively in the clinical … Speech-to-speech translation tools that combine a speech recognizer with machine translation are also being tested

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50372/psn-pdf
     September 25, 2019 - Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. September 25, 2019 Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967. https://psnet.ahr…