Proposed interventions to decrease the frequency of missed test results.
Proposed interventions to decrease the frequency of missed test results.
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建议采取干预措施以减少错过测试结果的频率。
DOI：
10.1007/s10459-009-9180-4
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Cram,Peter
中科院分区：
文献类型：
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作者：
Wahls,TerryL;Cram,Peter
许多研究已经确定，与异常测试结果处理不当有关的诊断延误是诊断错误的重要因素。导致遗漏结果的因素包括组织因素、提供者因素和患者相关因素。在2008年的诊断错误会议继续医学教育会议上，与会者参加了两个焦点小组，致力于确定降低漏诊频率的策略。对这些建议进行了审查和总结。改进了检测结果信息流中涉及的步骤的标准化，增加了患者的参与，以确保检测结果的随访，并对系统进行了重新设计，以改进数据的管理和呈现。将最初干预措施的重点放在已确定对患者结果有高风险不利影响的特定检查上，例如与可能的恶性肿瘤或急性冠状动脉综合征相关的检查，可能会对临床结果和患者对护理的满意度产生最重大的影响。
Numerous studies have identified that delays in diagnosis related to the mishandling of abnormal test results are an import contributor to diagnostic errors. Factors contributing to missed results included organizational factors, provider factors and patient-related factors. At the diagnosis error conference continuing medical education conference in 2008, attendees attended two focus groups dedicated to identification of strategies to lower the frequency of missed results. The recommendations were reviewed and summarized. Improved standardization of the steps involved in the flow of test result information, greater involvement of patients to insure the follow up of test results, and systems re-engineering to improve the management and presentation of data. Focusing the initial interventions on the specific tests which have been identified as high risk for adverse impact on patient outcomes such as tests associated with a possible malignancy or acute coronary syndrome will likely have the most significant impact on clinical outcome and patient satisfaction with care.