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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - September 27, 2017
Development and psychometric testing of a tool to measure missed nursing … WebM&M Cases
Agitated Delirium Contributes to Missed Testing
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psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - 2023
Measuring the rate of manual transcription error in outpatient point-of-care testing … February 15, 2010
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
September 01, 2012 - March 24, 2021
Dissemination of Lean methods to improve Pap testing quality and patient … February 24, 2011
Dissemination of Lean methods to improve Pap testing quality and patient
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psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - July 1, 2020
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing … , 2020
Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/node/73406/psn-pdf
June 16, 2021 - This news story highlights how underlying
problems and testing failures limit the trustworthiness of
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psnet.ahrq.gov/node/47485/psn-pdf
January 09, 2019 - among laboratory staff, pathologists, radiologists, and frontline physicians to
enhance the laboratory testing
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psnet.ahrq.gov/node/838191/psn-pdf
September 28, 2022 - biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
https://psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
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psnet.ahrq.gov/node/837667/psn-pdf
July 13, 2022 - multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
https://psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - , including the warfarin.
5
6
Case: Watch the Warfarin (3)
A week later, in routine laboratory testing … 12
13
Efforts to Make Warfarin Safer
Some patients can do INR testing at home and adjust their own … Meta-analysis: effect of patient self-testing and self-management of long-term anticoagulation on major … complications
More expensive per pill than warfarin, but may be cost effective because there is no INR testing
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Laboratory testing was ordered for follow-up and monitoring. … For example, the chaotic streams of paper test results from different testing facilities can
now be … Issues and initiatives in the testing
process in primary care physician offices. … Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and
Quality … Improving Your Office Testing Process.
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psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
July 25, 2012 - September 29, 2017
Crisis checklists for the operating room: development and pilot testing … July 25, 2011
Pilot testing of a model for insurer-driven, large-scale multicenter simulation
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - Copy Citation
Related Resources From the Same Author(s)
Developing and Testing … May 8, 2017
Technical Evaluation, Testing, and Validation of the Usability of Electronic
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psnet.ahrq.gov/issue/misery-doctors-first-days
December 02, 2015 - Medical research and the Institutional Review Board: the librarian's role in human subject testing … October 26, 2005
Technical Evaluation, Testing, and Validation of the Usability of Electronic
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psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
December 12, 2012 - June 20, 2011
Testing a classification model for emergency department errors. … October 26, 2011
Developing and testing a tool to measure nurse/physician communication
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psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
July 01, 2017 - January 31, 2018
Crisis checklists for the operating room: development and pilot testing … March 20, 2024
Pilot testing of a model for insurer-driven, large-scale multicenter simulation
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psnet.ahrq.gov/issue/overdiagnosis-coronary-artery-disease-detected-coronary-computed-tomography-angiography
March 03, 2011 - Accuracy of practitioner estimates of probability of diagnosis before and after testing … October 19, 2022
Portable advanced medical simulation for new emergency department testing
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - June 14, 2011
Dissemination of Lean methods to improve Pap testing quality and patient … October 9, 2013
Point-of-care testing, medical error, and patient safety: a 2007 assessment
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - The higher sensitivity and specificity offered by laboratory and radiologic testing makes it more likely … to lack the confidence to say that an examination of a certain body part is normal, and no further testing … the United States differ from our colleagues in Canada and England, who tend to be frugal with their testing … incidental findings has yet to be defined, but the costs of follow-up imaging, additional laboratory testing … Public expectations and attitudes for annual physical examinations and testing.
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - October 19, 2012
Crisis checklists for the operating room: development and pilot testing … May 27, 2009
Pilot testing of a model for insurer-driven, large-scale multicenter simulation
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psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
July 03, 2014 - October 7, 2020
Universal and serial laboratory testing for SARS-CoV-2 at a long-term … September 21, 2016
Patient notification for bloodborne pathogen testing due to unsafe