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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - September 27, 2023
How one medical checkup can snowball into a ‘cascade’ of tests, causing
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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
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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.
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - most participants felt that accessing OpenNotes facilitated their
understanding of the rationale for tests
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - prior VA studies
have shown that a small but clinically significant proportion of abnormal laboratory tests
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psnet.ahrq.gov/node/43712/psn-pdf
December 03, 2014 - Tests ordered by
trainees frequently led to issues with follow-up since trainees often rotated to other
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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
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psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals
February 21, 2024 - Design and implementation of an automated email notification system for results of tests
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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
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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
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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
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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
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psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
September 27, 2017 - Most frequently missed were mouth care, ambulation, repositioning, bathing, and discussing tests and
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - per hospital protocol.
7
Case Details (4)
• Thirty minutes after TNK 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
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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