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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Commentary
Responding to large-scale testing errors. … Responding to Large-Scale Testing Errors: Table 1. … Using two case examples, this article analyzes the causes and consequences of laboratory testing errors … Responding to Large-Scale Testing Errors: Table 1. … , 2019
Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-testing
July 15, 2020 - Commentary
Improving infusion pump safety through usability testing. … Improving infusion pump safety through usability testing. … Usability testing is an important step toward safely integrating new technologies into medical practice … This commentary describes the testing processes used for an infusion pump integration initiative. … Improving infusion pump safety through usability testing.
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psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
July 10, 2019 - Newspaper/Magazine Article
Misdiagnoses: a hidden risk of genetic testing. … Citation Text:
Misdiagnoses: a hidden risk of genetic testing. Howard J. CNN. … Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary … Cite
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Misdiagnoses: a hidden risk of genetic testing
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing. … Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. … Cite
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Commission of Inquiry on Hormone Receptor Testing
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psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
February 28, 2024 - Commentary
Conspicuous by its absence: diagnostic expert testing under uncertainty … Conspicuous by Its absence: diagnostic expert testing under uncertainty. … diagnostic expert may forego necessary diagnostic tests, and barriers and incentives to diagnostic testing … Conspicuous by Its absence: diagnostic expert testing under uncertainty.
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Study
The nature, causes, and clinical impact of errors in the clinical laboratory testing … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … Diagnostic testing errors can contribute to delays in diagnosis and to serious patient harm. … The researchers found that these diagnostic testing errors contributed to a potential diagnostic error … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading
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psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
March 04, 2020 - Study
Finding blunders in thyroid testing: experience in newborns. … Finding blunders in thyroid testing: experience in newborns. … Finding blunders in thyroid testing: experience in newborns. … Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal … Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a … In this study of a single neonatal unit, point-of-care testing resulted in many more quality errors … compared to central laboratory testing. … Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a
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psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
April 10, 2024 - Commentary
Emerging Classic
Simulation-based clinical systems testing … Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … This article describes the development and implementation of a simulation-based clinical systems testing … Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … February 8, 2023
A simulation systems testing program using HFMEA methodology can effectively
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psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
April 17, 2024 - Newspaper/Magazine Article
Utilizing pharmacogenomic testing can improve medication … Citation Text:
Utilizing pharmacogenomic testing can improve medication safety and prevent harm. … is using PGx to reduce adverse drug reactions and outlines recommendations for implementing a PGx testing … Cite
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Utilizing pharmacogenomic testing
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psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
January 08, 2020 - Commentary
Cognitive testing of older clinicians prior to recredentialing. … Cognitive Testing of Older Clinicians Prior to Recredentialing. … Cognitive Testing of Older Clinicians Prior to Recredentialing. … May 4, 2022
User-testing guidelines to improve the safety of intravenous medicines administration
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
June 11, 2008 - Study
Mitigation of patient harm from testing errors in family medicine offices: … Mitigation of patient harm from testing errors in family medicine offices: a report from the American … Patient harm resulting from errors in the diagnostic testing process is common in outpatient care, … clinics, with the goal of identifying factors that prevented patient harm from testing errors. … Mitigation of patient harm from testing errors in family medicine offices: a report from the American
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psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
February 12, 2020 - Commentary
Developing perioperative Covid-19 testing protocols to restore surgical … Developing perioperative Covid-19 testing protocols to restore surgical services. … article describes one academic health center’s protocol to initiate universal preoperative screening and testing … Developing perioperative Covid-19 testing protocols to restore surgical services. … December 23, 2020
User-testing guidelines to improve the safety of intravenous medicines
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - Available at: https://www.nytimes.com/2020/03/28/us/testing-coronavirus-pandemic.html . … Mass testing for covid-19 in the UK. BMJ . 2020;371:m4436. doi:10.1136/bmj.m4436. … Interim Guidance for Antigen Testing for SARS-CoV-2. 2020. … Testing COVID-19 tests faces methodological challenges. … Home testing for COVID-19: Benefits and limitations.
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psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
October 23, 2019 - Toolkit
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle … Citation Text:
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient … This toolkit provides resources to help augment medical or laboratory testing processes in ambulatory … URL
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Improving Your Office Testing
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - testing had few controls, but this has changed. … Evaluate available testing methods and devices first, then select those appropriate to the testing situation … Principles and Practice of Point-of-Care Testing. … Good laboratory practices for waived testing sites: survey findings from testing sites holding a certificate … testing program perspective.
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psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
June 11, 2008 - Study
Testing process errors and their harms and consequences reported from family … Testing process errors and their harms and consequences reported from family medicine practices: a study … A companion article evaluated factors that reduced harm to patients from testing errors. … Testing process errors and their harms and consequences reported from family medicine practices: a study … June 24, 2009
Mitigation of patient harm from testing errors in family medicine offices
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment … Point-of-care testing, medical error, and patient safety: a 2007 assessment. … The authors discuss point-of-care testing (POCT), advocate for manufacturers to take responsibility for … Point-of-care testing, medical error, and patient safety: a 2007 assessment. … the Same Author(s)
WebM&M Cases
Safeguarding Diagnostic Testing
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psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility
November 16, 2022 - Commentary
Universal and serial laboratory testing for SARS-CoV-2 at a long-term … Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for … Authors emphasize that universal and serial RT-PCR testing, rapid isolation, and cohorting can disrupt … Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for … August 12, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
March 21, 2007 - Magazine Article
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing … Citation Text:
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. … Citation
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Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing … June 3, 2020
‘Last responders’ seek to expand postmortem COVID testing In unexplained