Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

Judith Thomas; Maria R. Dahm; Julie Li; Andrew Georgiou

Study

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

June 2, 2021

Thomas J, Dahm MR, Li J, et al. Health Expect. 2021;24(2):222-233.

View more articles from the same authors.

Missed or failure to follow up on test results threatens patient safety. This qualitative study used volunteers to explore consumer perspectives related to test result management. Participants identified several challenges that patients experience with test-results management, including systems-level factors related to the emergency department and patient-level factors impacting understanding of test results.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Variation in electronic test results management and its implications for patient safety: a multisite investigation.

August 19, 2020

The delivery of safe and effective test result communication, management and follow-up.

September 27, 2023

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

The impact of health information technology on the management and follow-up of test results—a systematic review.

May 8, 2019

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.

August 5, 2020

Humanizing harm: using a restorative approach to heal and learn from adverse events.

May 4, 2022

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.

April 8, 2020

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.

November 30, 2022

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.

December 7, 2022

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level.

August 26, 2020

Technology-based closed-loop tracking for improving communication and follow-up of pathology results.

February 2, 2022

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.

March 31, 2021

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.

December 19, 2018

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study.

November 3, 2021

COVID-19 and open notes: a new method to enhance patient safety and trust.

July 7, 2021

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review.

December 8, 2021

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.

February 3, 2021

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.

November 16, 2022

Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach.

May 12, 2021

Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.

August 25, 2021

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.

December 8, 2008

Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital.

August 22, 2018

Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.

October 22, 2014

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad.

January 12, 2022

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Nursing home staff turnover and perceived patient safety culture: results from a national survey.

November 4, 2020

Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment.

October 31, 2007

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.

May 12, 2021

Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.

December 22, 2021

Nursing bedside clinical handover—an integrated review of issues and tools.

November 12, 2014

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.

February 10, 2021

The safety implications of missed test results for hospitalised patients: a systematic review.

February 23, 2011

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.

October 28, 2020

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.

October 6, 2021

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.

January 1, 2022

Inequities in quality and safety outcomes for hospitalized children with intellectual disability.

March 16, 2022

The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.

March 29, 2023

Prescribing decision making by medical residents on night shifts: a qualitative study.

November 9, 2022

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

November 10, 2021

Failure to follow-up test results for ambulatory patients: a systematic review.

January 11, 2012

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.

September 8, 2021

Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.

April 20, 2022

Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims.

May 19, 2021

The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.

July 28, 2021

Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.

August 25, 2021

Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation.

August 5, 2020

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial.

March 2, 2022

Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives.

July 21, 2021

Enhancing psychological safety in mental health services.

June 9, 2021

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

The impact of health information management professionals on patient safety: a systematic review.

December 22, 2021

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff.

November 10, 2021

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.

May 4, 2022

February 2, 2022

Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.

June 8, 2022

Nurses' experiences of organizational learning.

August 19, 2020

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.

March 24, 2021

The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.

October 20, 2021

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence

December 1, 2021

Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review.

October 14, 2020

Analysis of results from event investigations in industrial and patient safety contexts.

April 7, 2021

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review.

March 8, 2023

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.

June 9, 2021

Developing critical thinking skills for delivering optimal care

July 28, 2021

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.

January 18, 2023

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

Health professionals' perspectives of safety issues in mental health services: a qualitative study.

March 31, 2021

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital.

March 16, 2022

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.

May 10, 2017

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies.

June 23, 2021

Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities.

March 23, 2022

Action on patient safety can reduce health inequalities.

April 13, 2022

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

Successful remediation of patient safety incidents: a tale of two medication errors.

March 2, 2011

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.

September 28, 2022

Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.

March 17, 2021

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.

August 17, 2022

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

Related Resources

Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system.

April 3, 2024

How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting?

March 13, 2024

Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration.

February 14, 2024

Parents' understanding of medication at discharge and potential harm in children with medical complexity.

December 20, 2023

Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.

September 6, 2023

"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety.

August 2, 2023

WebM&M Cases

Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.

July 31, 2023

Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.

July 12, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Reducing diagnostic errors in the emergency department at the time of patient treatment.

March 29, 2023

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Registered nurses' efforts to ensure safety for home-dwelling older patients.

February 22, 2023

Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands.

February 1, 2023

Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis.

December 15, 2022

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.

November 30, 2022

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

WebM&M Cases

Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.

September 28, 2022

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis.

May 25, 2022

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.

March 23, 2022

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.

November 17, 2021

WebM&M Cases

Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations

September 29, 2021

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.

September 22, 2021

Older patients' engagement in hospital medication safety behaviours.

June 16, 2021

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Patient Safety Innovations

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors

March 3, 2021

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

See More About The Topic

Hospitals

Emergency Departments

Quality and Safety Professionals

Emergency Medicine

Missed or Critical Lab Results

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site