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Thomas J, Dahm MR, Li J, et al. J Am Med Inform Assoc. 2020;27:1214–1224.
This qualitative study explored how clinicians ensure optimal management of diagnostic test results, a major patient safety concern. Thematic analyses identified strategies clinicians use to enhance test result management including paper-based manual processes, cognitive reminders, and adaptive use of electronic medical record functionality.  
Chang R-KR, Gurvitz M, Rodriguez S. Arch Pediatr Adolesc Med. 2008;162:969-74.
This population-based study revealed that approximately 30 infants per year in California die due to missed diagnoses of congenital heart disease. Screening for specific disorders should be performed at the first postdischarge pediatrician visit.