-
psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - This commentary explains how written tests can fail to uncover these gaps in competency and
suggests
-
psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - detailed presentation of the potential error rates
and how they differed among specific drugs and lab tests
-
psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - https://psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
-
psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - comprehensive-method-develop-checklist-increase-safety-intra-hospital-
transport-critically
Transporting critically ill patients to other hospital areas for tests
-
psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - gynecology practice used Lean methods to redesign the workflow to
improve the diagnostic accuracy of Pap tests
-
psnet.ahrq.gov/node/47255/psn-pdf
August 29, 2018 - influence-shift-duration-cognitive-performance-emergency-physicians-prospective-cross
https://psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
-
psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
May 11, 2005 - This newspaper article reports on misread cervical cancer tests that resulted in 208 women receiving
-
psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - The HINTS exam, first described in 2009, includes three bedside oculomotor tests: head impulse test … must be distinguished
from positional nystagmus, which is elicited by the Dix-Hallpike (and other) tests … Both HINTS testing and
STANDING take only a few minutes to perform.32 However, all these bedside tests … of these other general medical causes of their
dizziness.34 For each of these scenarios, different tests … All tests have limitations.
-
psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - developed to improve the safety of medication orders, but modern systems now allow electronic ordering of tests … transmission to the laboratory, pharmacy, or radiology department; ability to recommend alternative tests … Decision support alerts can prevent harmful drug–drug interactions and promote use of evidence-based tests
-
psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - surgical rounds, he was noted to be in hypovolemic shock and the team immediately ordered laboratory tests … important starting point.
13
Management of Intraoperative Bleeding (3)
14
Standard coagulation tests … Ordering laboratory tests and imaging, as done in this patient, only delays treatment of the shock and … opportunity to save the patient, the appropriate urgency was not applied as evidenced by ordering laboratory tests
-
psnet.ahrq.gov/taxonomy/term/3460
August 11, 2025 - wrong-site surgery, slices of the cheese might include conventions for identifying sidedness on radiology tests
-
psnet.ahrq.gov/node/46370/psn-pdf
November 08, 2017 - nonindicated laboratory test, medical trainees and attending physicians were more likely to order those
tests
-
psnet.ahrq.gov/node/44518/psn-pdf
January 22, 2016 - Trainees performed similarly on immediate
postcourse tests, but the group that included error training
-
psnet.ahrq.gov/node/43939/psn-pdf
February 25, 2015 - More than 45% of the point-of-care tests lacked appropriate patient
identification, a problem the authors
-
psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - I believe that the hospitalist does maintain responsibility for ensuring that critical laboratory
tests … relevant provider (13), and one could make the same argument for key lab studies such
as positive HIV tests … become more robust, physicians will need to develop their own micro-systems for following up on key tests … Standard information transfer protocols, such as reminder systems to cue providers to check tests,
mandating
-
psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - the therapeutic range), but a slightly elevated creatinine and a new transaminitis (elevated liver tests … Design and implementation of an automated email notification system for results of tests … September 27, 2016
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
-
psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - I believe that the hospitalist does maintain responsibility for ensuring that critical laboratory tests … relevant provider ( 13 ), and one could make the same argument for key lab studies such as positive HIV tests … become more robust, physicians will need to develop their own micro-systems for following up on key tests … Standard information transfer protocols, such as reminder systems to cue providers to check tests, mandating
-
psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Clinicians may inappropriately order coagulation
tests that do not correlate with TSOAC effect. … For example, commonly obtained tests for warfarin or
heparin, including the prothrombin time or partial … Or, they may also fail to order TSOAC-specific tests when such tests are indicated, as in situations
-
psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - targeted reminders
within the existing electronic medical record prompting them to order laboratory tests
-
psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - until existing processes were
thoroughly analyzed, failure modes were determined, and rapid cycle tests