Literature DB >> 20193832

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Hardeep Singh1, Eric J Thomas, Dean F Sittig, Lindsey Wilson, Donna Espadas, Myrna M Khan, Laura A Petersen.   

Abstract

BACKGROUND: Follow-up of abnormal outpatient laboratory test results is a major patient safety concern. Electronic medical records can potentially address this concern through automated notification. We examined whether automated notifications of abnormal laboratory results (alerts) in an integrated electronic medical record resulted in timely follow-up actions.
METHODS: We studied 4 alerts: hemoglobin A1c > or =15%, positive hepatitis C antibody, prostate-specific antigen > or =15 ng/mL, and thyroid-stimulating hormone > or =15 mIU/L. An alert tracking system determined whether the alert was acknowledged (ie, provider clicked on and opened the message) within 2 weeks of transmission; acknowledged alerts were considered read. Within 30 days of result transmission, record review and provider contact determined follow-up actions (eg, patient contact, treatment). Multivariable logistic regression models analyzed predictors for lack of timely follow-up.
RESULTS: Between May and December 2008, 78,158 tests (hemoglobin A1c, hepatitis C antibody, thyroid-stimulating hormone, and prostate-specific antigen) were performed, of which 1163 (1.48%) were transmitted as alerts; 10.2% of these (119/1163) were unacknowledged. Timely follow-up was lacking in 79 (6.8%), and was statistically not different for acknowledged and unacknowledged alerts (6.4% vs 10.1%; P =.13). Of 1163 alerts, 202 (17.4%) arose from unnecessarily ordered (redundant) tests. Alerts for a new versus known diagnosis were more likely to lack timely follow-up (odds ratio 7.35; 95% confidence interval, 4.16-12.97), whereas alerts related to redundant tests were less likely to lack timely follow-up (odds ratio 0.24; 95% confidence interval, 0.07-0.84).
CONCLUSIONS: Safety concerns related to timely patient follow-up remain despite automated notification of non-life-threatening abnormal laboratory results in the outpatient setting. Published by Elsevier Inc.

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Mesh:

Year:  2010        PMID: 20193832      PMCID: PMC2878665          DOI: 10.1016/j.amjmed.2009.07.027

Source DB:  PubMed          Journal:  Am J Med        ISSN: 0002-9343            Impact factor:   4.965


  25 in total

1.  A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests.

Authors:  D W Bates; G J Kuperman; E Rittenberg; J M Teich; J Fiskio; N Ma'luf; A Onderdonk; D Wybenga; J Winkelman; T A Brennan; A L Komaroff; M Tanasijevic
Journal:  Am J Med       Date:  1999-02       Impact factor: 4.965

2.  Cognitive evaluation of decision making processes and assessment of information technology in medicine.

Authors:  A W Kushniruk; V L Patel
Journal:  Int J Med Inform       Date:  1998 Aug-Sep       Impact factor: 4.046

Review 3.  Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical audits.

Authors:  C van Walraven; C D Naylor
Journal:  JAMA       Date:  1998-08-12       Impact factor: 56.272

4.  "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care.

Authors:  Eric G Poon; Tejal K Gandhi; Thomas D Sequist; Harvey J Murff; Andrew S Karson; David W Bates
Journal:  Arch Intern Med       Date:  2004-11-08

5.  Outpatient diagnostic errors: unrecognized hyperglycemia.

Authors:  David Edelman
Journal:  Eff Clin Pract       Date:  2002 Jan-Feb

6.  A cost-benefit analysis of electronic medical records in primary care.

Authors:  Samuel J Wang; Blackford Middleton; Lisa A Prosser; Christiana G Bardon; Cynthia D Spurr; Patricia J Carchidi; Anne F Kittler; Robert C Goldszer; David G Fairchild; Andrew J Sussman; Gilad J Kuperman; David W Bates
Journal:  Am J Med       Date:  2003-04-01       Impact factor: 4.965

7.  Design and implementation of a comprehensive outpatient Results Manager.

Authors:  Eric G Poon; Samuel J Wang; Tejal K Gandhi; David W Bates; Gilad J Kuperman
Journal:  J Biomed Inform       Date:  2003 Feb-Apr       Impact factor: 6.317

8.  Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

Authors:  Hardeep Singh; Eric J Thomas; Shrinidi Mani; Dean Sittig; Harvinder Arora; Donna Espadas; Myrna M Khan; Laura A Petersen
Journal:  Arch Intern Med       Date:  2009-09-28

9.  Population-based study of repeat laboratory testing.

Authors:  Carl van Walraven; Michael Raymond
Journal:  Clin Chem       Date:  2003-12       Impact factor: 8.327

10.  Communication factors in the follow-up of abnormal mammograms.

Authors:  Eric G Poon; Jennifer S Haas; Ann Louise Puopolo; Tejal K Gandhi; Elisabeth Burdick; David W Bates; Troyen A Brennan
Journal:  J Gen Intern Med       Date:  2004-04       Impact factor: 5.128

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  70 in total

1.  Follow-up actions on electronic referral communication in a multispecialty outpatient setting.

Authors:  Hardeep Singh; Adol Esquivel; Dean F Sittig; Daniel Murphy; Himabindu Kadiyala; Rachel Schiesser; Donna Espadas; Laura A Petersen
Journal:  J Gen Intern Med       Date:  2010-09-17       Impact factor: 5.128

2.  Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care.

Authors:  Shailaja Menon; Daniel R Murphy; Hardeep Singh; Ashley N D Meyer; Dean F Sittig
Journal:  Appl Clin Inform       Date:  2016-06-22       Impact factor: 2.342

3.  Legal, ethical, and financial dilemmas in electronic health record adoption and use.

Authors:  Dean F Sittig; Hardeep Singh
Journal:  Pediatrics       Date:  2011-03-21       Impact factor: 7.124

4.  Current challenges in health information technology-related patient safety.

Authors:  Dean F Sittig; Adam Wright; Enrico Coiera; Farah Magrabi; Raj Ratwani; David W Bates; Hardeep Singh
Journal:  Health Informatics J       Date:  2018-12-11       Impact factor: 2.681

5.  Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.

Authors:  Anuj K Dalal; Bailey M Pesterev; Katyuska Eibensteiner; Lisa P Newmark; Lipika Samal; Jeffrey M Rothschild
Journal:  J Am Med Inform Assoc       Date:  2015-03-21       Impact factor: 4.497

6.  Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets.

Authors:  Sarah L Cutrona; Hassan Fouayzi; Laura Burns; Rajani S Sadasivam; Kathleen M Mazor; Jerry H Gurwitz; Lawrence Garber; Devi Sundaresan; Thomas K Houston; Terry S Field
Journal:  J Gen Intern Med       Date:  2017-08-14       Impact factor: 5.128

7.  Validating Laboratory Results in Electronic Health Records: A College of American Pathologists Q-Probes Study.

Authors:  Peter L Perrotta; Donald S Karcher
Journal:  Arch Pathol Lab Med       Date:  2016-09       Impact factor: 5.534

8.  Effects of laboratory data exchange in the care of patients with HIV.

Authors:  Douglas S Bell; Laral Cima; Danielle S Seiden; Terry T Nakazono; Marcia S Alcouloumre; William E Cunningham
Journal:  Int J Med Inform       Date:  2012-08-17       Impact factor: 4.046

9.  Improving outpatient safety through effective electronic communication: a study protocol.

Authors:  Sylvia J Hysong; Mona K Sawhney; Lindsey Wilson; Dean F Sittig; Adol Esquivel; Monica Watford; Traber Davis; Donna Espadas; Hardeep Singh
Journal:  Implement Sci       Date:  2009-09-25       Impact factor: 7.327

10.  Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.

Authors:  Hardeep Singh; Lindsey Wilson; Laura A Petersen; Mona K Sawhney; Brian Reis; Donna Espadas; Dean F Sittig
Journal:  BMC Med Inform Decis Mak       Date:  2009-12-09       Impact factor: 2.796

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