-
psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
April 24, 2018 - This commentary describes work at one hospital to improve the reliability of practice by designing and testing … November 16, 2022
Testing an intervention to improve health care worker well-being during
-
psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - conducted a human factors evaluation of three infusion pumps, combining heuristic assessment and user testing … October 13, 2021
Development and testing of an objective structured clinical exam (OSCE
-
psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
July 12, 2010 - This qualitative evaluation found that the AHRQ Improving Your Office Testing Process toolkit was perceived … August 3, 2022
When no news is bad news: improving diagnostic testing communication through
-
psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Usability testing
Human factors engineers test new systems and equipment under real-world conditions … One prominent
example of the clinical applicability of usability testing involves electronic health … Simulated clinical
scenarios may be used to conduct usability testing, as was performed in a study … Usability testing is also essential for identifying workarounds—the consistent bypassing of policies
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - NHs were to have written protocols for testing, protocols for residents or staff that decline testing … Federal effort to expand Covid-19 testing in nursing homes hits snags. Wall Street Journal . … Interim Guidance for Antigen Testing for SARS-CoV-2. Accessed December 2021. … Overview of Testing for SARS-CoV-2 (COVID-19). Accessed December 2021. … Guidance for SARS-CoV-2 Point-of-Care Testing. Accessed June 2021.
-
psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - great way to think about using an EHR is to create registries of patients with diabetes, who
need testing … If I increase the testing and if I increase the number
of visits I have with patients, that creates … The community had an understanding
that testing to prevent colon cancer was important. … So, they changed the
language from “colorectal cancer screening” to “testing to prevent colon cancer … Then there’s testing: How do we make sure that our patients get the right tests and don’t get unnecessary
-
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
-
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.
-
psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Pilot testing indicated that this tool successfully identified adverse outcomes that had not been
reported … issue/trigger-tool-identify-adverse-events-intensive-care-unit
https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
-
psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices … https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
-
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
-
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.
-
psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
June 28, 2017 - While the tool requires further reliability and validity testing, early feedback suggested its usability … 2021
Accuracy of practitioner estimates of probability of diagnosis before and after testing
-
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
-
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.
-
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