Patient Safety Alert 21: Results Management (PDF)
Continuing deliberations on test results management begun in 2013, the Academic Medical Center Patient Safety Organization (AMC PSO) gathered a panel of ambulatory risk management and patient safety experts to address this persistent issue.
Results Management Risks
“Workflow, user behavior, and organizational characteristics”4 significantly impact electronic results management processes. Our case reviews, and a focused review of the literature, identified the following risks associated with Tests Results Management:
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- Diagnostic test volume is steadily increasing, with some clinicians estimating reviews of over 1000 results/week, creating cognitive and general work overloads
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Programmable Medical Equipment Risks and Interventions
The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with programmable medical devices.
Wrong Site Surgery Report
The AMC PSO has identified the a series of practices employed to address the factors that can contribute to a wrong-site surgery.
The Risks of Programmable Medical Equipment
The AMC PSO has identified a broad array of programmable medical devices and made several recommendations to decrease risk due to user fallibility, equipment complexity, and highly variable processes.
PCA Pump Alarm Safety Concerns
The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with ambulatory pumps.
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