Patient Safety Alert 15: Test Result Notification (PDF)
The AMC PSO recently held a collaborative convening session of its Ambulatory Patient Safety Leaders in order to both discuss current issues and possible solutions and propagate the natural progression of CRICO’s established mission of helping health care providers turn credible data into effective action.
A health care professional’s failure to follow-up on abnormal diagnostic test results represents one of the most problematic safety issues in the practice of outpatient medicine (Muff and Bates, 2001; Poon et al. 2003) and is an issue that has garnered national attention in the courts, the press, and among professional medical associations.
- As discussed by Poon et al. (2004), previously published peer reviewed papers examining the communication of test results to patients indicate that: 36% of clinicians do not routinely inform their patients about test results.
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Patient ID Risks & the Intersection of Electronic Health Records
Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Medication Administration in the Ambulatory Setting
Patient Safety Alert Issue 26: The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.
Patient & Visitor De-escalation
Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Electronic Health Record Risks in the Emergency Department
Patient Safety Alert Issue 27: The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identiﬁcation of Gaps in Practice
Neonatal encephalopathy continues to be a signiﬁcant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could beneﬁt from quality improvement projects.
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