-
psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - initially on two areas: prescription medications and
the processing of lab, x-ray, and diagnostic tests … the entire process; in error reporting studies from family
medicine PBRNs, problems with processing tests … A tracking system assures that all tests ordered are
returned, ideally to the physician but at least … /#ref2
https://psnet.ahrq.gov//#ref3
physicians in a practice agree to standardize how they order tests … Patients should be educated as to what tests
are being ordered, their purpose, and when (and how) results
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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
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psnet.ahrq.gov/issue/dissemination-lean-methods-improve-pap-testing-quality-and-patient-safety
June 14, 2011 - gynecology practice used Lean methods to redesign the workflow to improve the diagnostic accuracy of Pap tests … September 1, 2012
Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis:
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psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - This commentary identifies the lack of standardized abbreviations for common laboratory tests as a potential … patient safety threat, as clinicians may inadvertently order incorrect or duplicative tests.
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psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
September 28, 2016 - requires that providers accurately communicate risks and benefits of potential treatment options and tests … found that regardless of level of training, physicians overestimated both the harms and benefits of tests
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - because of his obesity.
4
Case Part 1: Diagnostic Delay (2)
The ED provider ordered basic laboratory tests … While waiting for the diagnostic tests, the patient had progressively severe pain, requiring relatively … intravenous morphine.
5
Case Part 1: Diagnostic Delay (3)
Blood test results (including liver function tests … quadrant ultrasound imaging is the most useful test to evaluate for acute cholecystitis
Laboratory tests … the patient's obesity and the mildness of the symptoms)
Performance and interpretation of diagnostic tests
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psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
November 12, 2008 - Errors in ordering send-out tests (tests performed at specialized regional laboratories) were common,
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Available diagnostic tests have trade?offs. … chain reaction (PCR) tests, which have higher
accuracy, take longer to obtain results. … Antigen tests have the potential to yield false negatives for a variety
of reasons, such as testing … Alternatively, false positive results could occur with antigen tests, so healthcare
providers were … based tests for
diagnosis of SARS?CoV?2 infection.
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - the diagnostic process: (1) the patient-provider encounter (history, physical examination, ordering tests … /referrals based on assessment); (2) performance and interpretation of diagnostic tests; (3) follow-up … Access to comprehensive electronic health records (progress notes, tests, referrals) and a shared understanding … the diagnostic process: (1) the patient-provider encounter (history, physical examination, ordering tests … /referrals based on assessment); (2) performance and interpretation of diagnostic tests; (3) follow-up
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - The ordering and interpretation of diagnostic tests in everyday medical decision making is seemingly … One of the most common errors that can lead to overtreatment is ordering diagnostic tests in patients … In these 100 patients, there would be 5 positive tests, and in this patient population, all 5 positive … tests would be false positives. … And maybe one or more of these tests would have detected an incidental abnormality, which would have
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Laboratory tests sent for a voluntary medical research study showed an elevated alkaline phosphatase … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15383478
Preoperative Evaluation:
Are Laboratory Tests … Abnormal tests uncommon; can be predicted on basis of known medical problems
Incidence of abnormalities … Preoperative screening: value of previous tests. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=2240920
Preoperative Evaluation:
Are Laboratory Tests
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psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
October 27, 2021 - were more likely to raise concerns about the diagnostic process (e.g., access barriers, problems with tests … May 22, 2024
Low rate of completion of recommended tests and referrals in an academic
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - December 21, 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
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - electronic health record alert that required physicians to respond "yes" or "no" regarding whether tests … found that physician responses were often inaccurate, and the proportion of discharged patients with tests
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - 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
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psnet.ahrq.gov/node/36927/psn-pdf
April 14, 2011 - frequency-missed-test-results-and-associated-treatment-delays-highly-
computerized-health
Failure to properly follow up on tests … survey evaluated the extent to which faulty systems limit a physician's ability to follow up after
tests
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psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - study
Defensive medicine—the practice of performing potentially unnecessary procedures or diagnostic tests … Because procedures and tests carry risks of complications, defensive medicine also may lead to
adverse
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - Physicians
are responsible for following up on tests they order. … any test result indicates
an imminent life-threatening condition.(6)
The law does not state which tests … personnel appropriate for communicating or receiving the results.(7)
In practice, a core group of tests … Take-Home Points
Physicians are responsible for tracking the results on laboratory tests they order. … Example Critical Values For Some Common Laboratory Tests
ANALYTE
(Lab Test)
Critical
Values
Low
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psnet.ahrq.gov/node/49469/psn-pdf
December 01, 2004 - obstetrician that she would discuss with her husband that evening whether he wanted to
have the genetic tests … The physician ordered
routine screening laboratory tests (fasting lipid profile, complete blood count … patient had consented; he assumed that the physician must have obtained consent before
ordering the tests … G to give her "the good news" that all her
screening tests were normal. … G's refusal to have genetic tests for serious disorders was
irrational.
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psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - May 2, 2018
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