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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41413/psn-pdf
     September 26, 2012 - Communication of posthospital care, including tests pending at discharge, is a critical element of effective

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39986/psn-pdf
     November 10, 2010 - corroborates other studies documenting persistent failure to comprehensively follow up abnormal lab tests

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45437/psn-pdf
     September 01, 2018 - promoting the practice of defensive medicine—which can lead to adverse events through unnecessary tests

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43911/psn-pdf
     April 15, 2016 - psnet.ahrq.gov/primer/ambulatory-care-safety https://psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare

385. Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet
     psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
     May 23, 2018 - review highlights the value of creating diagnostic management teams tasked with selecting laboratory tests

386. New Oral Anticoagulants | PSNet
     psnet.ahrq.gov/web-mm/new-oral-anticoagulants
     July 01, 2011 - 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

387. Diagnostic Errors Case Studies | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
     August 10, 2025 - Two days after the patient’s discharge, the commercial and state lab tests were both reported as negative … testing, the unprecedented burden faced by health systems, and downstream consequences of false positive tests … The patient elected not to follow up with the tests because of this negative interaction.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33741/psn-pdf
     November 01, 2012 - Today, there are countless ways to categorize disease—telemetry printouts, laboratory tests, electrocardiograms … Prompt, accurate diagnosis reduces the number of procedures and invasive tests, decreases the number … in a medical culture that allows clinicians to make clinical decisions based largely on technologic tests

389. Spotlight Case Hindsight Is 2020 Slides Final Revised 05.03.2024 (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
     January 01, 2024 - hospital protocol. 7 Case Details (4) • Thirty minutes after TNKase administration, laboratory tests … . – 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 … • If the point-of-care ethanol level is unobtainable, one should prioritize lab tests such as the … collateral history, physical examination, clinical decision support tools, and point of care laboratory tests

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46843/psn-pdf
     June 21, 2018 - uncertainty in diverse ways—through direct expression in their assessments, by ordering more diagnostic tests

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39821/psn-pdf
     July 16, 2014 - https://psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care Tests

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41967/psn-pdf
     May 10, 2013 - health-it-and-patient-safety-building-safer-systems-better-care https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838222/psn-pdf
     September 28, 2022 - complicating people’s lives, sending them out to do things they don’t need to do, and avoid unnecessary tests … Then there’s testing: How do we make sure that our patients get the right tests and don’t get unnecessary … tests? … A lot of quality metrics have to do with tests: checking cholesterol, checking A1Cs for diabetes, and … There are other times when the tests were all normal, and the patient didn’t get notified, and so maybe

394. Medical disrespect. | PSNet
     psnet.ahrq.gov/issue/medical-disrespect
     September 27, 2023 - September 27, 2023 How one medical checkup can snowball into a ‘cascade’ of tests, causing

395. Vanderbilt Center for Patient and Professional Advocacy. | PSNet
     psnet.ahrq.gov/issue/vanderbilt-center-patient-and-professional-advocacy
     March 02, 2022 - March 6, 2012 Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source

396. Can wearable tech prevent healthcare errors? | PSNet
     psnet.ahrq.gov/issue/can-wearable-tech-prevent-healthcare-errors
     December 02, 2020 - Design and implementation of an automated email notification system for results of tests

397. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - wrong-site surgery, slices of the cheese might include conventions for identifying sidedness on radiology tests

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45491/psn-pdf
     May 09, 2017 - The use of computerized provider order entry (CPOE) systems, in which clinicians place orders for tests

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37838/psn-pdf
     June 11, 2008 - process, implying that ambulatory clinics require comprehensive systems for ordering and following up on tests

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43653/psn-pdf
     January 01, 2015 - that the tool was feasible to implement, and clinicians reported delays in accessing or responding to tests