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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35571/psn-pdf
     April 06, 2011 - overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates Assessing how well clinicians or diagnostic tests

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44127/psn-pdf
     September 28, 2017 - intolerance-error-and-culture-blame-drive-medical-excess https://psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41814/psn-pdf
     March 04, 2015 - the authors found cases where autopsies missed diagnoses that had been previously noted on imaging tests

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42669/psn-pdf
     September 27, 2017 - Most frequently missed were mouth care, ambulation, repositioning, bathing, and discussing tests and

365. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache | PSNet
     psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
     February 08, 2023 - 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 … Imaging and Laboratory Tests In patients with isolated dizziness who have nystagmus, laboratory testing … All tests have limitations.

366. UTMC nurse tossed out kidney, ruined it. National experts say error is rare. | PSNet
     psnet.ahrq.gov/issue/utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare
     August 07, 2024 - May 27, 2011 How one medical checkup can snowball into a ‘cascade’ of tests, causing

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866205/psn-pdf
     July 10, 2024 - surgical rounds, he was noted to be in hypovolemic shock and the team immediately ordered laboratory tests … Standard coagulation tests (i.e., International Normalized Ratio, Activated Partial Thromboplastin Time … 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

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - errors reported by staff and clinicians and examined errors in the process of ordering diagnostic tests

369. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. | PSNet
     psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
     May 01, 2019 - improvement showed that most studies do not report on the key methodological features of iterative cycles, tests

370. System-related and cognitive errors in laboratory medicine. | PSNet
     psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
     December 21, 2016 - Problems managing laboratory tests can contribute to diagnostic error .

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45575/psn-pdf
     November 09, 2016 - projects undertaken demonstrated success in reducing the unneeded intervention: fewer serum creatinine tests

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41101/psn-pdf
     October 16, 2012 - provider–patient interaction (e.g., missing important symptoms); diagnostic testing (e.g., overuse or underuse of tests

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36334/psn-pdf
     October 26, 2010 - As in the outpatient arena, errors generally occurred due to failure to order diagnostic tests or interpret

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40925/psn-pdf
     December 07, 2011 - included arranging follow-up appointments, performing medication reconciliation, and following up on tests

375. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet
     psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
     December 18, 2024 - Thirty minutes after TNKase administration, laboratory tests showed that the patient’s alcohol level … According to the American Heart Association and American Stroke Association guidelines, other tests such … It is not customary to measure and/or wait for other laboratory tests; “alteplase treatment should not … If the point-of-care ethanol level is unobtainable, one should prioritize lab tests such as the complete … collateral history, physical examination, clinical decision support tools, and point of care laboratory tests

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864867/psn-pdf
     April 10, 2024 - Thirty minutes after TNKase administration, laboratory tests showed that the patient’s alcohol level … According to the American Heart Association and American Stroke Association guidelines, other tests … It is not customary to measure and/or wait for other laboratory tests; “alteplase treatment should not … If the point-of-care ethanol level is unobtainable, one should prioritize lab tests such as the complete … collateral history, physical examination, clinical decision support tools, and point of care laboratory tests

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33861/psn-pdf
     July 01, 2018 - You just repeat the tests. … What are the right screening tests and sequence of follow-up tests if these are positive to work up … Based on new screening recommendations for high-risk patients, we're ordering many imaging tests to … These are situations where we should be doing few tests and referrals. … releases/2017/10/171002161254.htm https://psnet.ahrq.gov/issue/society-improve-diagnosis-medicine fewer tests

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852698/psn-pdf
     August 30, 2023 - medical record (EMR) features an order set to assist clinicians in ordering the appropriate diagnostic tests … appropriate follow-up testing (such as computed tomography [CT] scans and carcinoembryonic antigen [CEA] tests … Decision-support systems for CT scans and CEA tests at appropriate intervals post-surgery were implemented … In addition, adenoma detection rates were measured, and the pathology department now tests all specimens

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40932/psn-pdf
     July 05, 2016 - health-it-and-patient-safety-building-safer-systems-better-care https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38621/psn-pdf
     February 18, 2011 - providers for failing to perform adequate physical exams and patients for failing to undergo recommended tests