Patient preferences for notification of normal laboratory test results: a report from the ASIPS Collaborative.
Patient preferences for notification of normal laboratory test results: a report from the ASIPS Collaborative.
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DOI：
10.1186/1471-2296-6-11
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发表时间：
2005-03-08
影响因子：
2.9
通讯作者：
Pace, Wilson D
中科院分区：
文献类型：
--
作者：
Baldwin, Donna M;Quintela, Javan;Pace, Wilson D
背景：许多医疗差错发生在实验室检测过程中，包括丢失检测结果。患者询问结果通常代表定位丢失结果的最终安全网。本定性研究旨在确定，从病人的角度来看，具体的喜好和因素，影响正常（阴性）的实验室检查结果的沟通过程中patient.METHODS：我们进行了30分钟的指导采访20名成年患者。患者是从科罗拉多的两个基于实践的研究网络中招募的，他们参与了一项医疗差错研究。一个半结构化的采访引起了参与者的经验和偏好的实验室检测结果通知。对人口统计学和偏好数据进行定量描述性统计。定性结果进行了分析，由一个团队的经验丰富的定性研究人员使用多种风格的定性分析，包括模板的方法和编辑approach.RESULTS：百分之九十的参与者希望被告知所有的测试结果。与通知有关的重要问题包括隐私、回应和互动反馈、便利、及时性和提供细节。电话通知是首选，其次是普通邮件。电子通知被认为是不方便的，因为它不安全。虽然65%的人更喜欢由提供者通知，但参与者承认这可能不切实际;因此，他们希望由知识渊博的人来回答问题。参与者通常不讨论他们的喜好与他们的provider.CONCLUSION测试结果通知：隐私，响应和互动反馈，方便，及时提供详细的信息可能是至关重要的病人满意度和提高病人的安全性，并可能被纳入新兴的沟通渠道的功能。
BACKGROUND: Many medical errors occur during the laboratory testing process, including lost test results. Patient inquiry concerning results often represents the final safety net for locating lost results. This qualitative study sought to identify, from a patient perspective, specific preferences and factors that influence the process of communicating normal (negative) laboratory test results to patients.METHODS: We conducted 30-minute guided interviews with 20 adult patients. Patients were recruited from two practice-based research networks in Colorado that were participating in a medical errors study. A semi-structured interview elicited the participant's experience with and preference for laboratory test result notification. Quantitative descriptive statistics were generated for demographic and preference data. Qualitative results were analyzed by a team of experienced qualitative researchers using multiple styles of qualitative analyses, including a template approach and an editing approach.RESULTS: Ninety percent of participants wanted to be notified of all tests results. Important issues related to notification included privacy, responsive and interactive feedback, convenience, timeliness, and provision of details. Telephone notification was preferred, followed by regular mail. Electronic notification was perceived as uncomfortable because it was not secure. While 65% preferred being notified by a provider, participants acknowledge that this may be impractical; thus, they wanted to be notified by someone knowledgeable enough to answer questions. Participants do not normally discuss their preferences for test result notification with their providers.CONCLUSION: Privacy, responsive and interactive feedback, convenience, and timeliness with detailed information may be critical for patient satisfaction and for improving patient safety, and are features that may be incorporated into emerging communication channels.