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441. 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…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853966/psn-pdf
     September 27, 2023 - The delivery of safe and effective test result communication, management and follow-up. September 27, 2023 Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.17061/phrp3332324. https://psnet…

443. 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…

444. 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…

445. 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…

446. 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…

447. 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…

448. 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…

449. 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…

450. In Conversation With… Linda Aiken, PhD, RN | PSNet
     psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
     March 01, 2018 - But in the context of those interventions being tested and many of them showing promise, over the same … of missed care would appear to support the theory.( 5,11 ) Our most recent research has directly tested

451. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
     March 01, 2018 - of missed care would appear to support the theory.( 5,11 ) Our most recent research has directly tested … But in the context of those interventions being tested and many of them showing promise, over the same

452. Adolescent Diabetes: A Routine Visit? | PSNet
     psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
     November 18, 2016 - levels in the two types may overlap for up to a year following diagnosis.( 13 , 16 ) Who should be tested … and adolescents who are overweight or obese and have at least two additional risk factors for T2DM be tested

453. 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…

454. Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey. | PSNet
     psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
     March 23, 2012 - Study Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey. Citation Text: Callen J, Giardina TD, Singh H, et al. Emergency physicians' views of direct notification of laboratory and radiology results to…

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49532/psn-pdf
     March 15, 2007 - context nor the orders.(1,2,9 ) The Figure shows an example algorithm; these orders have been field tested

456. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
     March 01, 2007 - JAMA article suggest that a new incident investigation model is needed: one that has been adequately tested

457. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
     August 01, 2012 - Spotlight Case Spotlight Case No News May Not Be Good News 1 2 Source and Credits This presentation is based on the August 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Carlton R. Moore, MD, MS; University of North Carolina, School of Medicin…

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45208/psn-pdf
     April 22, 2017 - Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. April 22, 2017 Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47527/psn-pdf
     November 21, 2018 - Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. November 21, 2018 van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test interpretation - a systematic r…

460. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
     February 01, 2013 - Spotlight Case July 2008 Spotlight Case Delay in Treatment: Failure to Contact Patient Leads to Significant Complications * * Source and Credits This presentation is based on the February 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: …