Improving test result follow-up through electronic health records requires more than just an alert.
Improving test result follow-up through electronic health records requires more than just an alert.
复制标题
通过电子健康记录改善检测结果的跟踪需要的不仅仅是警报。
DOI：
10.1007/s11606-012-2161-y
复制
发表时间：
2012
影响因子：
5.7
通讯作者：
Singh,Hardeep
中科院分区：
文献类型：
--
作者：
Sittig,DeanF;Singh,Hardeep
A recent American Medical Association report high-lighted failures in communication of abnormal test results as an important but understudied facet of improving safety in ambulatory care. 1 Because many outpatient test results are not life-threatening and don’t require verbal communication, health information technology (IT) has potential to reliably transmit result information in the fragmented outpatient setting. Thus, few will disagree that communication of abnormal test results is an obvious context where advantages of health IT will be observed. In this issue of JGIM, Callen et al. report the results of a timely systematic review of 19 studies that documented quantitative evidence of test results not followed up in ambulatory settings. 2 They found wide variation in abnormal results lacking follow-up: 7% to 62% for laboratory, and 1% to 36% for imaging tests. Although evidence of the effectiveness of electronic test management systems was limited, there was a general trend towards improved followup in electronic systems.In another article in this issue, El-Kareh et al. discuss the results of a randomized controlled trial that put electronic communication to the test. The authors studied the effectiveness of sending microbiology test result alerts via a secure, internal e-mail system to clinicians when results were finalized post-discharge. 3 They found better documented evidence of
