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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46797/psn-pdf
     March 14, 2018 - that access to patient notes enhanced caregiver understanding of recommended medical care including tests

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42498/psn-pdf
     December 30, 2014 - algorithm identified patients with elevated prostate-specific antigen levels, positive fecal occult blood tests

403. Computer viruses are "rampant" on medical devices in hospitals. | PSNet
     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

404. Patient-reported missed nursing care correlated with adverse events. | PSNet
     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

405. Critical Order Set Change and Critical Limb Ischemia | PSNet
     psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
     July 02, 2019 - or simply making order entry more convenient (e.g., an order set for frequently utilized laboratory tests … designed for the convenience of the provider (such as an order set for frequently used morning laboratory tests … in the hospital) might lead to orders for inappropriate and unnecessary tests, a form of overuse known

406. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet
     psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
     February 17, 2021 - In most cases, there are no definitive tests to determine a specific etiology for a patient’s headache … to pursue further diagnostic evaluation, including imaging, applicable laboratory testing, and other tests … However, pursuing such tests in most patients with headache is unnecessary, leading to excessive testing

407. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet
     psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
     April 24, 2018 - fail to recognize risks associated with direct oral anticoagulants or their effect on anticoagulation tests

408. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     October 31, 2023 - 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

409. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - May 9, 2018 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

410. Insert Omission | PSNet
     psnet.ahrq.gov/web-mm/insert-omission
     May 09, 2014 - These inexpensive tests are sensitive to 20 mIU/mL of HCG, a level typical of pregnancies at about the … To avoid IUC insertion during pregnancy, performing sensitive, rapid urine pregnancy tests and waiting … Testing women for chlamydia with rapid amplified DNA tests can reduce this risk, since current chlamydia

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33812/psn-pdf
     August 01, 2016 - Third, an excess number of radiological tests. … Studies have warned of a possible association between excess dental X-ray tests and a greater probability … I also hope that we'll be able to determine the right indication for radiological tests and to avoid

412. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
     December 01, 2013 - Errors With TSOAC Use (3) Inappropriate monitoring Clinicians may inappropriately order coagulation tests … that do not correlate with TSOAC effect Clinicians may also fail to order TSOAC-specific tests when … such tests are indicated 20 20 Institutional Responsibility Institutions should consider implementing

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46747/psn-pdf
     June 06, 2018 - most participants felt that accessing OpenNotes facilitated their understanding of the rationale for tests

414. Psn-Pdf (pdf file)
     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

415. Psn-Pdf (pdf file)
     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

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49480/psn-pdf
     May 01, 2005 - diagnosis of dissecting aneurysm.(9) Second, the quality of the literature addressing various diagnostic tests … Reports of the accuracy of diagnostic tests are biased by retrospective reviews of charts of patients … empiric treatment of one may increase the chance of death in another; and (iii) the value of diagnostic tests … Were the appropriate tests ordered for the differential diagnosis list?

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50610/psn-pdf
     October 30, 2019 - However, many of these tests and treatments originate from a time when drugs, nutrition support (total … Using umbilical cord blood for the initial blood tests of VLBW neonates results in higher hemoglobin

418. Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. | PSNet
     psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
     January 24, 2024 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests

419. Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. | PSNet
     psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
     October 27, 2021 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests

420. In response to "Failure to Report" (March 2007) | PSNet
     psnet.ahrq.gov/perspective/response-failure-report-march-2007
     June 01, 2007 - the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Cognitive tests … errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests