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101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42966/psn-pdf
     November 21, 2018 - These mainly focused on ensuring appropriate follow-up of abnormal lab tests (particularly cancer screening … tests) and sufficient monitoring of high-risk medications.

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41954/psn-pdf
     November 26, 2014 - decoding-laboratory-test-names-major-challenge-appropriate-patient-care This commentary identifies the lack of standardized abbreviations for common laboratory tests … a potential patient safety threat, as clinicians may inadvertently order incorrect or duplicative tests

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44653/psn-pdf
     November 18, 2015 - laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests … laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests

104. Primary care collaboration to improve diagnosis and screening for colorectal cancer. | PSNet
     psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
     July 13, 2022 - December 21, 2022 Low rate of completion of recommended tests and referrals in an academic … patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests … January 17, 2024 Completion of recommended tests and referrals in telehealth vs in-person

105. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet
     psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
     November 02, 2022 - March 9, 2022 Low rate of completion of recommended tests and referrals in an academic … patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests … January 17, 2024 Completion of recommended tests and referrals in telehealth vs in-person

106. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
     psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
     February 21, 2020 - Most of these tests had to be sent to an external laboratory and the results returned intermittently … Such a process may be especially useful for tests that are typically ordered and acted upon by a single … specialty service, such as tests for rare neuromuscular disorders. … Without specific direction to review tests with pending results at the time of discharge, the primary … Diagnostic workups that include multiple send-out laboratory tests are often difficult to follow across

107. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
     August 01, 2006 - on aid of radiologist or first-tier laboratory data Skills in getting data back and arranging for tests … up subtle physical examination findings Little time for detailed examination Reflexive ordering of tests … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=2316561 Why Do We Order So Many Tests? … The consequences of excessive reliance on diagnostic tests to convey information that should have been … in diagnosis as one awaits the test results The patient is exposed to the risk and side effects of tests

108. Identifying risk in the use of tumor markers to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
     March 09, 2022 - Inappropriate use of laboratory tests can contribute to missed and delayed diagnosis . … This retrospective chart review found that the majority of tumor marker tests requested in an academic

109. Creating highly reliable accountable care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
     November 03, 2015 - April 18, 2013 Low rate of completion of recommended tests and referrals in an academic … patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests … January 17, 2024 Completion of recommended tests and referrals in telehealth vs in-person

110. Reducing hospital errors: interventions that build safety culture. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture
     September 27, 2017 - October 31, 2014 Low rate of completion of recommended tests and referrals in an academic … patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests … January 17, 2024 Completion of recommended tests and referrals in telehealth vs in-person

111. Medication prescribing errors involving the route of administration. | PSNet
     psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
     January 12, 2011 - December 23, 2008 Low rate of completion of recommended tests and referrals in an academic … patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests … January 17, 2024 Completion of recommended tests and referrals in telehealth vs in-person

112. A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet
     psnet.ahrq.gov/issue/comparison-effects-different-typographical-methods-recognizability-printed-drug-names
     May 31, 2011 - July 10, 2008 Improving safety and eliminating redundant tests: cutting costs in U.S. … June 16, 2019 Cognitive tests predict real-world errors: the relationship between drug … name confusion rates in laboratory-based memory and perception tests and corresponding error rates in

113. Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet
     psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
     June 21, 2016 - December 5, 2013 Impact of an automated email notification system for results of tests … 2015 Lessons learned from implementation of a computerized application for pending tests … March 21, 2018 Impact of an automated email notification system for results of tests

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49516/psn-pdf
     August 01, 2006 - student on the wards soon finds that skills at the computer in getting data back and arranging for tests … One can get into the habit of reflexively ordering a series of tests to traverse assorted diagnostic … the physician has picked the right algorithm based on the history, physical, and initial laboratory tests … It has long been said that physicians order an increasing number of tests because we are practicing … The consequences of excessive reliance on diagnostic tests to convey information that should have been

115. The next organizational challenge: finding and addressing diagnostic error. | PSNet
     psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
     November 16, 2022 - These mainly focused on ensuring appropriate follow-up of abnormal lab tests (particularly cancer screening … tests) and sufficient monitoring of high-risk medications.

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49660/psn-pdf
     August 01, 2012 - morning, the patient's mother called the pediatrician's office to obtain the results of the blood tests … 7) In a different survey of primary care providers at a Veterans Affairs (VA) hospital, of all the tests … had unrecognized (and untreated) diabetes.(11) Studies looking at other commonly ordered laboratory tests … Workflow changes should: (i) ensure that all laboratory tests include the correct ordering provider; … Ultimately, it was the mother's diligence in inquiring about the laboratory tests that prompted the

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49792/psn-pdf
     May 01, 2017 - While waiting for the diagnostic tests, the patient had progressively severe pain, requiring relatively … Blood test results (including liver function tests) were normal except for an elevated creatinine level … to several factors, such as provider perceptions (4) and weight restrictions of diagnostic imaging tests … Initial laboratory and imaging tests ordered for this patient seemed appropriate. … and problems performing diagnostic tests in a timely manner.

118. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
     psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
     February 01, 2004 - step: the patient presents in a timely manner, the clinical evaluation is performed well, appropriate tests … are ordered, the tests are performed correctly within an appropriate interval, the results are diagnostic … , by educating them about the tests and their importance, when the results will be available and how … The ED discharge instructions given to Rory Staunton's parents contained a line for pending tests and … Engage patients in following up on pending tests 2.

119. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
     April 12, 2023 - errors were primarily related to clinician diagnostic reasoning , including failure to order needed tests … , erroneous interpretation of tests, and failure to consider the correct diagnosis.

120. Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. | PSNet
     psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
     November 07, 2018 - Laboratory tests are an integral part of diagnosing illness and injury, but system issues can result … As an academic family practice clinic, an important first step was allowing residents to order tests