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Eight Recommendations for Policies for Communicating Abnormal Test Results

机译:交流异常测试结果的政策的八项建议

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Background: Health care organizations continue to struggle to ensure that critical findings are communicated and acted on in a timely and appropriate manner. Recent research highlights the risks of communication breakdowns along the entire spectrum of test-result abnormality, including significantly abnormal but nonemergent findings. Evidence-based and practical institutional policies must uphold effective processes to guide communication of abnormal test results. Eight recommendations for effective policies on communication of abnormal diagnostic test results were developed based on policy refinement at the Michael E. DeBakey Veterans Affairs Medical Center (Houston), institutional experience with test result management, and findings from research performed locally and elsewhere.rnKey Facets of Effective Policies: Research findings on vulnerabilities in existing policies and procedures were taken into consideration. The eight recommendations are based on important refinements to the policy which clarified staff roles and responsibilities for test ordering, follow-up, and communication; defined categories of abnormal test results to guide appropriate follow-up action; and elaborated procedures for monitoring the effectiveness of test result communication and follow-up. Participation of key stakeholders is recommended to enhance buy-in from personnel and to help ensure the policies feasibility and sustainability. Conclusions: The proposed recommendations for ensuring safe test-result communication may be potentially useful to a wide variety of institutions and health care settings. These practical suggestions, based on research findings and experiences with a previous policy, may be a useful guide for designing or amending policies for safe test-result communication in both inpatient and outpatient settings.
机译:背景:卫生保健组织继续努力确保及时,适当地传达关键发现并采取行动。最近的研究突出了整个测试结果异常范围内的通信故障的风险,包括明显的异常但没有融合的发现。基于证据的实践机构政策必须坚持有效的流程,以指导异常测试结果的交流。基于Michael E.DeBakey退伍军人事务医疗中心(休斯敦)的政策改进,对测试结果管理的机构经验以及在本地和其他地方进行的研究发现,提出了八项建议,以提出有效的关于诊断诊断结果异常交流的政策。有效政策:考虑了现有政策和程序中的漏洞研究结果。八项建议基于对政策的重要改进,阐明了人员在测试订购,跟进和沟通方面的角色和职责;确定异常测试结果的类别,以指导适当的后续行动;制定了详细的程序,以监控测试结果沟通和跟进的有效性。建议主要利益相关者参与,以增加人员支持,并帮助确保政策的可行性和可持续性。结论:为确保安全的测试结果沟通而提出的建议可能对许多机构和医疗机构有用。这些基于研究结果和以往政策的经验的实用建议,可能对设计或修改政策以在住院和门诊患者环境中进行安全的测试结果交流提供有用的指导。

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    Hardeep Singh; Meena S. Vij;

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    Houston U.S. Department of Veterans Affairs Health Services Research and Development Service (VA HSR&D) Center of Excellence Medicine, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine VA Center of Inquiry to Improve Outpatient Safety through Effective Electronic Communication, Houston;

    Radiology, Michael E. DeBakey VA Medical Center, and Radiology at Baylor College of Medicine;

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