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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43445/psn-pdf
    October 01, 2014 - Test result communication in primary care: clinical and office staff perspectives. October 1, 2014 Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. https://psnet.ahrq.gov/issue/test…

  2. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    December 01, 2012 - Current strategies being tested include multiple sessions of staged cognitive exercises that match their … The newer atypical antipsychotic agents, the only ones that have really been tested in clinical trials … equally effective as haloperidol and have less extrapyramidal effects—but they honestly are not well tested

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42697/psn-pdf
    December 05, 2013 - An initiative to improve the management of clinically significant test results in a large health care network. December 5, 2013 Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41954/psn-pdf
    November 26, 2014 - Decoding laboratory test names: a major challenge to appropriate patient care. November 26, 2014 Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8. https://psnet.ahrq.gov/issue…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46215/psn-pdf
    June 14, 2017 - The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017 Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of tes…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46544/psn-pdf
    September 12, 2018 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. September 12, 2018 Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944. ht…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43939/psn-pdf
    February 25, 2015 - Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. February 25, 2015 Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. Clin C…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38812/psn-pdf
    April 12, 2011 - Management of test results in family medicine offices. April 12, 2011 Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices This study evaluated co…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41649/psn-pdf
    December 21, 2014 - Last orders: follow-up of tests ordered on the day of hospital discharge. December 21, 2014 Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. https://psnet.ahrq.gov/issue/last-orde…

  10. 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…

  11. 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…

  12. 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. …

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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:…

  19. 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…

  20. 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…
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