"I wish I had seen this test result earlier!"
"I wish I had seen this test result earlier!"
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DOI：
10.1001/archinte.164.20.2223
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发表时间：
2004-11-08
影响因子：
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通讯作者：
Bates, DW
中科院分区：
文献类型：
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作者：
Poon, EG;Gandhi, TK;Bates, DW
背景：未能及时审查和随访门诊检查结果代表了患者安全和医疗事故问题。因此，我们试图找出目前的测试结果管理系统和可能的方法来改善这些systems.Methods的问题：我们调查了262名医生工作在15个内科的做法附属于2个大型城市教学医院（响应率，64%）。我们询问了医生他们使用的系统以及他们花在管理测试结果上的时间。我们要求他们报告审查测试结果的延迟以及他们对测试结果管理的总体满意度。我们还要求医生率的功能，他们会发现有用的新的测试结果managementsystem.Results：总体而言，83%的受访者报告至少有1个延迟审查测试结果在过去的2个月。尽管报告称他们平均每天花费74分钟管理测试结果，但只有41%的医生对他们管理测试结果的方式感到满意。满意度与较少的自我报告延迟审查测试结果有关。积极跟踪他们的测试订单完成的医生也更有可能感到满意。测试结果管理系统的最高期望的功能是工具，以帮助医生生成结果信给病人，优先考虑他们的工作流程，并跟踪测试订单完成。结论：延迟测试结果审查是常见的，许多医生不满意他们如何管理测试结果。在办公实践中，改善测试结果管理的工具需要提高工作流程效率并跟踪测试订单的完成。
Background: Failure to review and follow up on outpatient test results in a timely manner represents a patient safety and malpractice concern. Therefore, we sought to identify problems in current test result management systems and possible ways to improve these systems.Methods: We surveyed 262 physicians working in 15 internal medicine practices affiliated with 2 large urban teaching hospitals (response rate, 64%). We asked physicians about systems they used and the amount of time they spent managing test results. We asked them to report delays in reviewing test results and their overall satisfaction with their management of test results. We also asked physicians to rate features they would find useful in a new test result management system.Results: Overall, 83% of respondents reported at least 1 delay in reviewing test results during the previous 2 months. Despite reporting that they spent on average 74 minutes per clinical day managing test results, only 41% of physicians reported being satisfied with how they managed test results. Satisfaction was associated with fewer self-reported delays in reviewing test results. Physicians who actively tracked their test orders to completion were also more likely to be satisfied. The most highly desired features of a test result management system were tools to help physicians generate result letters to patients, prioritize their workflow, and track test orders to completion.Conclusions: Delays in test result review are common, and many physicians are not satisfied with how they manage test results. Tools to improve test result management in office practices need to improve workflow efficiency and track test orders to completion.