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Cases & Commentaries
- Web M&M
John Q. Young, MD, MPP; July 2011
A healthy elderly man presented to his primary care doctor—a third-year internal medicine resident—for routine examination. A PSA test was markedly elevated, but the results came back after the resident had graduated, and the alert went unread. Months later, the patient presented with new onset low back pain and was diagnosed with metastatic prostate cancer.
Journal Article > Study
Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety.
Moore C, Saigh O, Trikha A, Lin JJ. J Patient Saf. 2008;4:241-244.
Physicians reported dissatisfaction with their ability to follow up on test results in a timely fashion, with resident physicians frequently reporting an inability to check test results in less than 1 week. The need for standardized methods for following up test results in ambulatory care was noted in a prior study.
Journal Article > Commentary
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.
Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.
This commentary describes one hospital's approach to engage residents in improving patient safety.