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psnet.ahrq.gov/node/43299/psn-pdf
December 23, 2016 - More than 150,000 patients required notification and further testing due to concern of potential exposure … nonhospital-health-care-associated-hepatitis-b-and-c-virus-transmission-united-states-1998
https://psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
June 16, 2011 - June 16, 2011
Testing process errors and their harms and consequences reported from family … June 21, 2017
Mitigation of patient harm from testing errors in family medicine offices … June 16, 2011
Developing and testing a tool to measure nurse/physician communication
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psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
July 16, 2013 - Citation
Related Resources From the Same Author(s)
Developing and pilot testing … "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing … March 5, 2014
Developing and pilot testing practical measures of preanalytic surgical
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psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
September 15, 2021 - June 3, 2020
‘Last responders’ seek to expand postmortem COVID testing In unexplained … June 3, 2020
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing
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psnet.ahrq.gov/issue/chemotherapy-error-practical-approaches-increasing-patient-safety
August 04, 2021 - March 23, 2011
Mitigation of patient harm from testing errors in family medicine offices … June 7, 2016
Adverse events in the neonatal intensive care unit: development, testing
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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.
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - RIS
Download Citation
Related Resources From the Same Author(s)
Testing … May 11, 2011
Developing and pilot testing practical measures of preanalytic surgical
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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.
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Laboratory testing can be broken down into three phases: pre-analytic (test ordering, specimen collection … procedures, most laboratory errors occur during the pre-
analytic and post-analytic phases of the testing … Clinicians were asked to report any irregularities in the laboratory testing process during a 6-
month … Primary care practices and testing facilities should take a proactive process redesign approach to the … Problems in laboratory testing in
primary care. JAMA. 1996;275:635-9.[ go to PubMed ]
10.
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psnet.ahrq.gov/node/39266/psn-pdf
March 05, 2010 - effects-stress-and-coping-surgical-performance-during-simulations
https://psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system … https://psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
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psnet.ahrq.gov/node/45797/psn-pdf
October 31, 2017 - history, incomplete
physical examination performance or documentation, and lack of needed laboratory testing … Consistent with
prior studies, failure to order laboratory testing and plan follow-up were associated
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psnet.ahrq.gov/issue/slow-troubling-death-autopsy
August 19, 2020 - August 26, 2020
‘Last responders’ seek to expand postmortem COVID testing In unexplained … June 3, 2020
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing
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psnet.ahrq.gov/issue/second-victim-phenomenon
July 10, 2024 - 2013
Accuracy of practitioner estimates of probability of diagnosis before and after testing … May 15, 2024
Testing an intervention to improve health care worker well-being during
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Preanalytic error, as occurred in this case, typically involves the steps of laboratory testing that … When easily retrievable specimens such as blood or a gastrointestinal mucosal biopsy are lost, repeat testing … personnel.( 4 ) Given the inherent complexity and risk associated with the laboratory ordering and testing … Additional, standard communication between the laboratory and the primary clinical team to clarify testing … Adverse Events Reported by Testing Phase (n, %), Out of a Sample of 1797 Adverse Events.
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - July 14, 2010
Mitigation of patient harm from testing errors in family medicine offices … June 11, 2008
Testing process errors and their harms and consequences reported from family … October 4, 2023
Laboratory testing in general practice: a patient safety blind spot.
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psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
November 10, 2015 - This article describes the development, testing, and subsequent refinement of the BCMA standard. … September 7, 2022
Development and usability testing of the Agency for Healthcare Research
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psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
November 08, 2017 - The authors describe a conceptual model to comprehensively address the safety of laboratory testing and … November 25, 2015
Routine failures in the process for blood testing and the communication
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psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - Laboratory testing can be broken down into three phases: pre-analytic (test ordering, specimen collection … Clinicians were asked to report any irregularities in the laboratory testing process during a 6-month … Primary care practices and testing facilities should take a proactive process redesign approach to the … mechanisms for ensuring proper specimen identification and handling during the pre-analytic phase of testing … Problems in laboratory testing in primary care. JAMA. 1996;275:635-9.[ go to PubMed ] 10.
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - diarrhea had
always been attributed to viral or unknown causes, without any microbiologic or serologic testing … Suspecting and testing for Strongyloides is
warranted for all patients with these risk factors who are … Testing in the United States can be done by examination of stool specimens for larvae. … risk should be treated
empirically if immunosuppression needs to be initiated before the results of testing … Further
testing to rule out inflammatory bowel disease requires colonoscopic examination and biopsy.
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psnet.ahrq.gov/primer/human-factors-engineering
December 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