-
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
-
psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - 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 … Engage patients in following up on pending tests, by educating them about the tests and their
importance … 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.
-
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/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
-
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
-
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.
-
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
-
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:
-
psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Inappropriate use or overuse of clinical tests such as MRIs can be harmful to patients. … December 16, 2020
How one medical checkup can snowball into a ‘cascade’ of tests, causing
-
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
-
psnet.ahrq.gov/node/40725/psn-pdf
October 16, 2012 - vulnerable time for patients, particularly following hospitalization when discharge
communication, pending tests … readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
-
psnet.ahrq.gov/node/43630/psn-pdf
April 15, 2016 - particularly vulnerable following hospitalization, a period during which discharge
communication, pending tests … incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
https://psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
-
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,
-
psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
November 03, 2015 - March 18, 2019
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
-
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
-
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.
-
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.
-
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
-
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