• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Understanding the management of electronic test result notifications in the outpatient setting
【24h】

Understanding the management of electronic test result notifications in the outpatient setting

机译：了解门诊环境中电子测试结果通知的管理

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Notifying clinicians about abnormal test results through electronic health record (EHR) -based "alert" notifications may not always lead to timely follow-up of patients. We sought to understand barriers, facilitators, and potential interventions for safe and effective management of abnormal test result delivery via electronic alerts. Methods We conducted a qualitative study consisting of six 6-8 member focus groups (N = 44) at two large, geographically dispersed Veterans Affairs facilities. Participants included full-time primary care providers, and personnel representing diagnostic services (radiology, laboratory) and information technology. We asked participants to discuss barriers, facilitators, and suggestions for improving timely management and follow-up of abnormal test result notifications and encouraged them to consider technological issues, as well as broader, human-factor-related aspects of EHR use such as organizational, personnel, and workflow. Results Providers reported receiving a large number of alerts containing information unrelated to abnormal test results, many of which were believed to be unnecessary. Some providers also reported lacking proficiency in use of certain EHR features that would enable them to manage alerts more efficiently. Suggestions for improvement included improving display and tracking processes for critical alerts in the EHR, redesigning clinical workflow, and streamlining policies and procedures related to test result notification. Conclusion Providers perceive several challenges for fail-safe electronic communication and tracking of abnormal test results. A multi-dimensional approach that addresses technology as well as the many non-technological factors we elicited is essential to design interventions to reduce missed test results in EHRs.
机译：背景技术通过基于电子健康记录（EHR）的“警报”通知来通知临床医生异常的检测结果可能并不总是导致对患者的及时随访。我们试图了解通过电子警报安全有效地管理异常测试结果的障碍，促进因素和潜在干预措施。方法我们在两个大型，地理位置分散的退伍军人事务机构进行了由六个6-8个成员焦点小组（N = 44）组成的定性研究。参加人员包括全职初级保健提供者，以及代表诊断服务（放射线，实验室）和信息技术的人员。我们要求参与者讨论障碍，促进者，以及改善对异常测试结果通知的及时管理和跟进的建议，并鼓励他们考虑技术问题以及EHR使用中与人为因素相关的广泛方面，例如组织，人员和工作流程。结果提供商报告称收到了大量警报，其中包含与异常测试结果无关的信息，其中许多信息被认为是不必要的。一些提供商还报告说，他们缺乏熟练使用某些EHR功能的能力，这使他们无法更有效地管理警报。改进建议包括改善EHR中关键警报的显示和跟踪流程，重新设计临床工作流程以及简化与测试结果通知相关的政策和程序。结论提供者对故障安全电子通信和异常测试结果的跟踪存在一些挑战。解决技术问题以及我们引发的许多非技术因素的多维方法对于设计干预措施以减少EHR中遗漏的测试结果至关重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号