The continuing problem of missed test results in an integrated health system with an advanced electronic medical record.

The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Research Abstract Details 

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The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Abstract Text:

Terry Wahls,Thomas Haugen,Peter Cram,

BACKGROUND: Missed results can cause needless treatment delays. However, there is little data about the magnitude of this problem and the systems that clinics use to manage test results. METHODS: Surveys about potential problems related to test results management were developed and administered to clinical staff in a regional Veterans Administration (VA) health care network. The provider survey, conducted four times between May 2005 and October 2006, sampling VA staff physicians, physician assistants, nurse practitioners, and internal medicine trainees, asked questions about the frequency of missed results and diagnosis or treatment delays seen in the antecedent two weeks in their clinics, or if a trainee, the antecedent month. RESULTS: Clinical staff survey response rate was 39% (143 of 370), with 40% using standard operating procedures to manage test results. Forty-four percent routinely reported all results to patients. The provider survey response rate was 50% (441 of 884) overall, with responses often (37% overall; range 29% to 46%) indicating they had seen patients with diagnosis or treatment delays attributed to a missed result; 15% reported two or more such encounters. DISCUSSION: Even in an integrated health system with an advanced electronic medical record, missed test results and associated diagnosis or treatment delays are common. Additional study and measures of missed results and associated treatment delays are needed.

The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Publishing Authors By Initials

T Wahls,T Haugen,P Cram,

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The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Joint Commission journal on quality and patient sa

VOLUME: 33

Page Numbers: 485-92

Journal Abbreviation:

ISSN: 1553-7250

DAY: 3

MONTH: Aug

YEAR: 2007

The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Information

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LANGUAGE: eng

NlmUniqueID: 101238023

The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Keywords Mesh Terms:

KEYWORDS: United States Department of Veterans Aff

MESH TERMS: organization & administration

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Grant and Affiliation Information for The continuing problem of missed test results in an integrated health system with an advanced electronic medical record.

AFFILIATION: Iowa City Department of Veterans Affairs Medical Center, USA. Terry.Wahls@va.gov

Country: United States

AGENCY: United States NCRR

GRANT: K23RR1997201

ACRONYM: RR

MEDLINETA: Jt Comm J Qual Patient Saf

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