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141. The Result Stopped Here | PSNet
     psnet.ahrq.gov/web-mm/result-stopped-here
     December 01, 2006 - 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 … third.( 7 ) It is common practice, however, for laboratory staff to report positive C. difficile 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

142. Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. | PSNet
     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

143. No News May Not Be Good News | PSNet
     psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
     December 07, 2009 - Monday 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; … Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay

144. 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.

145. Psn-Pdf (pdf file)
     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

146. Psn-Pdf (pdf file)
     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

147. Ask me if I cleaned my hands. | PSNet
     psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
     December 07, 2022 - March 9, 2022 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

148. FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. | PSNet
     psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
     November 16, 2022 - December 12, 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

149. Overriding Considerations | PSNet
     psnet.ahrq.gov/web-mm/overriding-considerations
     March 09, 2009 - 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.

150. Patient Safety in the Physician Office Setting | PSNet
     psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
     November 04, 2015 - patient, practices perform a series of decisions and actions, including ordering and implementing the 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 … Such a system requires that all physicians in a practice agree to standardize how they order tests and … Patients should be educated as to what tests are being ordered, their purpose, and when (and how) results

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49472/psn-pdf
     March 01, 2005 - The urgent care provider reviewed his lab results and discovered that his tests for rapid plasma reagin … The Commentary This case highlights the danger of inadequate follow-up of outpatient tests and the challenges … We are not provided with information regarding additional STD screening tests (such as for gonorrhea … and chlamydia); these tests should also have been conducted. … Assure that there is a mechanism for rapid identification and follow-up on positive screening tests.

152. Physician spending and subsequent risk of malpractice claims: observational study. | PSNet
     psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
     May 01, 2015 - 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

153. Medication errors reported by US family physicians and their office staff. | PSNet
     psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
     June 11, 2008 - errors reported by staff and clinicians and examined errors in the process of ordering diagnostic tests … April 7, 2011 Low rate of completion of recommended tests and referrals in an academic

154. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. | PSNet
     psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
     March 02, 2011 - As in the outpatient arena, errors generally occurred due to failure to order diagnostic tests or interpret … November 16, 2022 Impact of an automated email notification system for results of tests

155. 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

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49537/psn-pdf
     June 01, 2007 - Laboratory tests sent for a voluntary medical research study showed an elevated alkaline phosphatase … Abnormal tests are uncommon, and most can be predicted on the basis of known medical problems. … For example, a large review of a broad array of potential tests found that the incidence of abnormalities … If we apply these standards to our patient, he would receive a complete blood count, renal function tests … Preoperative screening: value of previous tests. Ann Intern Med. 1990;113:969-973.

157. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. | PSNet
     psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
     November 26, 2014 - Design and implementation of an automated email notification system for results of tests … December 31, 2014 The impact of automated notification on follow-up of actionable tests … July 2, 2019 Impact of an automated email notification system for results of tests pending

158. Case report of a medication error: in the eye of the beholder. | PSNet
     psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
     April 17, 2019 - 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

159. Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. | PSNet
     psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors
     January 13, 2021 - January 13, 2021 Cognitive tests predict real-world errors: the relationship between … drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates

160. Look-alike and sound-alike medicines: risks and 'solutions.' | PSNet
     psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
     March 29, 2023 - February 27, 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