Results

Total Results: 5,954 records

Showing results for "testing".

281. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research-related … testing) performed on humans in the US through the Clinical Laboratory Improvement Amendments (CLIA) … members must be the person transfusing the blood. 5.14.1 If a discrepancy is identified in the ABO testing … of previously analyzed specimens, internal blind testing of samples, or external proficiency testing … Combining this standard practice with barcode scanning significantly reduces laboratory testing errors

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50931/psn-pdf
     February 26, 2020 - take many forms, many experts agree that effective diagnosticians are good at “iterative hypothesis testing … diagnoses.5  Systematic pressures in modern inpatient care may detract from using iterative hypothesis testing … unexplained hydropneumothorax in a systemically ill patient should prompt urgent evaluation by a surgeon and testing … Gathering accurate information, forming thoughtful differential diagnoses, and iteratively testing hypothetical … Teaching clinical medicine by iterative hypothesis testing. Let's preach what we practice. 

283. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet
     psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
     June 14, 2011 - September 28, 2010 Dissemination of Lean methods to improve Pap testing quality and patient … April 25, 2016 The landscape of inappropriate laboratory testing: a 15-year meta-analysis … January 15, 2014 When diagnostic testing leads to harm: a new outcomes-based approach

284. The vanishing nonforensic autopsy. | PSNet
     psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
     February 09, 2011 - September 14, 2016 Laboratory testing in general practice: a patient safety blind spot … November 4, 2015 When diagnostic testing leads to harm: a new outcomes-based approach … September 18, 2013 Quality indicators to detect pre-analytical errors in laboratory testing

285. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. | PSNet
     psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
     August 03, 2022 - The investigators found that clinicians did not consistently pursue further testing in patients with … January 13, 2016 Laboratory testing in general practice: a patient safety blind spot.

286. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet
     psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
     June 08, 2022 - Errors were more frequently made during the assessment and testing phases of the diagnostic process. … September 14, 2022 Development and usability testing of the Agency for Healthcare Research

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49613/psn-pdf
     November 01, 2010 - 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 … who should be notified of the error, and steps to be taken in the event that a donor mother refuses testing

288. Test result communication in primary care: a survey of current practice. | PSNet
     psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
     November 20, 2015 - Related Resources From the Same Author(s) Routine failures in the process for blood testing … May 22, 2019 Routine failures in the process for blood testing and the communication … November 16, 2015 Laboratory testing in general practice: a patient safety blind spot

289. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
     December 22, 2008 - October 20, 2010 Development and usability testing of the Agency for Healthcare Research … May 1, 2019 Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle … December 30, 2014 When diagnostic testing leads to harm: a new outcomes-based approach

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33641/psn-pdf
     November 01, 2006 - Applying the human factors engineering tool of usability testing would likely have illuminated these … Such testing would likely have revealed many steps of catheter removal with glitches related to design … Further formal testing would uncover the rate with which prospective patients would ignore what they … factors engineering mindset for the first time, or when he or she is exposed to the results of usability testing … The usability testing of the nasal medication delivery system would also offer up surprises.

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45791/psn-pdf
     September 01, 2018 - This pre–post study found that the growth of diagnostic testing for chest pain slowed after implementation … further study to determine whether these results represent an appropriate reduction in unnecessary testing

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44741/psn-pdf
     January 20, 2016 - The authors describe a conceptual model to comprehensively address the safety of laboratory testing … i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices

293. Improving Patient Safety in Laboratory Medicine. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
     November 16, 2022 - May 21, 2014 When diagnostic testing leads to harm: a new outcomes-based approach for … November 3, 2012 Quality indicators to detect pre-analytical errors in laboratory testing

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866618/psn-pdf
     December 31, 2024 - Clinicians should have a low threshold to repeat diagnostic testing such as routine bloodwork and 12 … -lead ECG, particularly when the risks of testing are minimal relative to the risks of misdiagnosis … If hemolysis is detected, clinical laboratory workflows should exist to automatically prompt repeat testing … Undetected In Vitro Hemolysis or Sample Contamination on Patient Care and Outcomes in Point-of-Care Testing … Educational case: hemolysis and lipemia interference with laboratory testing.

295. Delayed Sepsis Management Due to Ambiguous Allergy | PSNet
     psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
     January 13, 2021 - penicillin reactions have their allergy disproved more than 95% of the time after undergoing formal testing … While historically performed by allergy specialists, penicillin allergy testing in hospital-based patients … Penicillin skin testing takes about 1 hour to perform. … When penicillin skin testing is not possible (or not necessary because of low risk), drug challenges … The use of telemedicine for penicillin allergy skin testing.

296. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet
     psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
     April 08, 2008 - Related Resources From the Same Author(s) Dissemination of Lean methods to improve Pap testing … , 2019 Measuring the rate of manual transcription error in outpatient point-of-care testing … December 27, 2014 Point-of-care testing, medical error, and patient safety: a 2007 assessment

297. Patient safety and error reduction in surgical pathology. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
     January 08, 2016 - , 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 … September 30, 2011 Finding blunders in thyroid testing: experience in newborns.

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47598/psn-pdf
     November 28, 2018 - Mass spectrometry testing revealed discrepancies between medications listed as prescribed in the electronic … The authors suggest that the use of such testing may be helpful in improving both the accuracy of medication

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45902/psn-pdf
     October 13, 2018 - from the Office of the National Coordinator for electronic health records are less prescriptive about testing … are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison https://psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically

300. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet
     psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
     November 01, 2017 - unneeded screenings, clarifying the definition of overdiagnosis, and adjusting cultural expectations for testing … 2019 Accuracy of practitioner estimates of probability of diagnosis before and after testing