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psnet.ahrq.gov/node/37838/psn-pdf
June 11, 2008 - Mitigation of patient harm from testing errors in family
medicine offices: a report from the American Academy of
Family Physicians National Research Network.
June 11, 2008
Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine
offices: a report from the American Ac…
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to
Significant Complications
February 1, 2013
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet
[internet]. 2013.
https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
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psnet.ahrq.gov/node/36927/psn-pdf
April 14, 2011 - The frequency of missed test results and associated
treatment delays in a highly computerized health system.
April 14, 2011
Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly
computerized health system. BMC Fam Pract. 2007;8:32.
https://psnet.ahrq.gov/issue/frequenc…
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psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - Failure to follow-up test results for ambulatory patients: a
systematic review.
November 26, 2014
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A
Systematic Review. J Gen Intern Med. 2011;27(10):1334-1348. doi:10.1007/s11606-011-1949-5.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46566/psn-pdf
June 25, 2018 - A systematic review of interventions to follow-up test
results pending at discharge.
June 25, 2018
Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test
Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9.
https://psnet.…
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - No News May Not Be Good News
August 1, 2012
Moore CR. No News May Not Be Good News. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
Case Objectives
Describe the frequency with which ambulatory test results are not followed up by providers.
Appreciate that inadequate follow-up of…
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psnet.ahrq.gov/node/43712/psn-pdf
December 03, 2014 - How context affects electronic health record–based test
result follow-up: a mixed-methods evaluation.
December 3, 2014
Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-
up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e005985. doi:10.1136/bmjopen-2014-00…
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…
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psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified by
administrators in general practice.
March 12, 2014
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study
of safety risks identified by administrators in gene…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - SPOTLIGHT CASE
No News May Not Be Good News
Citation Text:
Moore CR. No News May Not Be Good News. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
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psnet.ahrq.gov/node/38228/psn-pdf
July 14, 2010 - Timely follow-up of abnormal outpatient test results:
perceived barriers and impact on patient safety.
July 14, 2010
Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf.
2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4.
https://psnet.ahrq.gov/issue/timely-follo…
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psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Patient groups, clinicians and healthcare professionals
agree—all test results need to be seen, understood and
followed up.
December 19, 2018
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all
test results need to be seen, understood and followed up. Diagnosis…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications
Citation Text:
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - Clinician perspectives on the management of abnormal
subcritical tests in an urban academic safety-net health
care system.
October 4, 2017
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests
in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/39502/psn-pdf
September 29, 2017 - Eight recommendations for policies for communicating
abnormal test results.
September 29, 2017
Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J
Qual Patient Saf. 2010;36(5):226-232.
https://psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnor…
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - Notification of abnormal lab test results in an electronic
medical record: do any safety concerns remain?
September 20, 2011
Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical
record: do any safety concerns remain? Am J Med. 2010;123(3):238-44.
doi:10.1016/j.am…
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary care in
the UK: a qualitative exploration of patient and provider
perspectives.
November 20, 2015
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…
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psnet.ahrq.gov/node/39674/psn-pdf
July 14, 2010 - The management of test results in primary care: does an
electronic medical record make a difference?
July 14, 2010
Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic
medical record make a difference? Fam Med. 2010;42(5):327-33.
https://psnet.ahrq.gov/issue/manag…
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psnet.ahrq.gov/node/44428/psn-pdf
November 20, 2015 - Test result communication in primary care: a survey of
current practice.
November 20, 2015
Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current
practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712.
https://psnet.ahrq.gov/issue/test-result-co…