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psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond
March 04, 2020 - March 4, 2020
Pilot testing of a model for insurer-driven, large-scale multicenter simulation … February 13, 2014
Crisis checklists for the operating room: development and pilot testing … January 28, 2015
Pilot testing of a model for insurer-driven, large-scale multicenter
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psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
October 19, 2022 - Improper injection practices associated with point-of-care testing and treatment can contribute to … March 6, 2013
Improving infusion pump safety through usability testing.
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psnet.ahrq.gov/node/74217/psn-pdf
December 22, 2021 - by Patient Safety Organizations during the early months of the COVID
pandemic found that patients testing … patient-safety-organization-pso-program
https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
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psnet.ahrq.gov/node/72848/psn-pdf
March 17, 2021 - This article describes the development and
testing of an ambulatory medication safety evaluation tool … Pilot testing at seven clinics around the US indicates that clinics
struggled in areas of advanced decision
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - sites should be set up, and the characteristics of the site that might
support testing. … need for COVID-19 testing. … Environmental testing allows the healthcare provider to take
action to interrupt the epidemiological … We should have been testing our air and surfaces as soon as we knew the pathogen was
airborne. … and being able to say that we're testing our surfaces, we’re testing our air,
we're testing it for
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psnet.ahrq.gov/node/44346/psn-pdf
March 18, 2016 - Developing a primary care patient measure of safety (PC
PMOS): a modified Delphi process and face validity
testing … Developing a primary care patient measure of safety (PC PMOS): a
modified Delphi process and face validity testing … through a modified Delphi process
and was well received by patients and staff during face validity testing
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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - Inadequate follow-up of diagnostic testing can lead to missed or delayed diagnoses . … March 3, 2021
Development and usability testing of the Agency for Healthcare Research
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psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
July 29, 2020 - This article describes the development and testing of an ambulatory medication safety evaluation tool … Pilot testing at seven clinics around the US indicates that clinics struggled in areas of advanced decision
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psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
July 19, 2023 - Usability testing, a key component of human factors engineering , is the process of testing new technology
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - communication through the use of technology , audit and feedback, and use of point-of-care or bedside testing … August 24, 2022
When no news is bad news: improving diagnostic testing communication
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - SPOTLIGHT CASE
Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric … Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. … Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. … Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation.
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Additional laboratory testing revealed that no infectious transmission had occurred, and no other objective … Was the medical testing associated with the error adequate? … Hepatitis C, while found in breast milk, is unlikely to be transmitted; therefore, testing is not required … also in found in breast milk, has little impact on healthy full-term or older infants, and routine testing … ( 8,12 ) Follow-Up Care for Breast-Milk Errors The case investigation alluded to laboratory testing
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psnet.ahrq.gov/node/848358/psn-pdf
May 03, 2023 - contributed to diagnostic error in 61% of claims, the majority in outpatient care,
and 92% at the testing … electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
https://psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement
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psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - Failure to detect abnormalities during testing can lead to missed or delayed diagnoses . … September 28, 2010
Commission of Inquiry on Hormone Receptor Testing.
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psnet.ahrq.gov/issue/maintaining-perioperative-safety-uncertain-times-covid-19-pandemic-response-strategies
December 23, 2020 - protective equipment, decontamination efforts, mass temperature screenings, universal preprocedure testing … August 19, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Upon arrival at the satellite facility, samples are logged and accessioned for testing at their respective … Modern laboratory testing incorporates numerous safeguards such as external and internal quality controls … Some facilities may incorporate robotics ( i.e., automation) to aid in the testing process to maximize … Medical testing error occurs most frequently during the pre-analytic phase. … Risk management in the preanalytical phase of laboratory testing.
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - Computerised physician order entry-related medication
errors: analysis of reported errors and vulnerability
testing … Computerised physician order entry-related medication errors:
analysis of reported errors and vulnerability testing … findings mirror those of a prior
simulation study and highlight the importance of real-world usability testing
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - , 2022
Measuring the rate of manual transcription error in outpatient point-of-care testing … 6, 2015
Clinical impact associated with corrected results in clinical microbiology testing … December 3, 2008
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/issue/communicating-critical-test-results-0
November 19, 2014 - , 2019
Measuring the rate of manual transcription error in outpatient point-of-care testing … October 7, 2011
Point-of-care testing, medical error, and patient safety: a 2007 assessment … February 15, 2010
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/node/72519/psn-pdf
December 02, 2020 - /psnet.ahrq.gov/perspective/implementing-fall-prevention-program
https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall