Unintended errors with EHR-based result management: a case series
- PMID: 20064810
- PMCID: PMC2995631
- DOI: 10.1197/jamia.M3294
Unintended errors with EHR-based result management: a case series
Abstract
Test result management is an integral aspect of quality clinical care and a crucial part of the ambulatory medicine workflow. Correct and timely communication of results to a provider is the necessary first step in ambulatory result management and has been identified as a weakness in many paper-based systems. While electronic health records (EHRs) hold promise for improving the reliability of result management, the complexities involved make this a challenging task. Experience with test result management is reported, four new categories of result management errors identified are outlined, and solutions developed during a 2-year deployment of a commercial EHR are described. Recommendations for improving test result management with EHRs are then given.
Conflict of interest statement
Similar articles
-
Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence.Int J Med Inform. 2014 Jul;83(7):484-94. doi: 10.1016/j.ijmedinf.2014.04.002. Epub 2014 Apr 28. Int J Med Inform. 2014. PMID: 24862893
-
Impact of electronic health record systems on information integrity: quality and safety implications.Perspect Health Inf Manag. 2013 Oct 1;10(Fall):1c. eCollection 2013. Perspect Health Inf Manag. 2013. PMID: 24159271 Free PMC article. Review.
-
A case for manual entry of structured, coded laboratory data from multiple sources into an ambulatory electronic health record.J Am Med Inform Assoc. 2006 Jan-Feb;13(1):12-5. doi: 10.1197/jamia.M1813. Epub 2005 Oct 12. J Am Med Inform Assoc. 2006. PMID: 16221946 Free PMC article.
-
Top ten challenges when interfacing a laboratory information system to an electronic health record: Experience at a large academic medical center.Int J Med Inform. 2017 Oct;106:9-16. doi: 10.1016/j.ijmedinf.2017.06.008. Epub 2017 Jun 30. Int J Med Inform. 2017. PMID: 28870384
-
A Systematic Review of Nurses' Experiences With Unintended Consequences When Using the Electronic Health Record.Nurs Adm Q. 2015 Oct-Dec;39(4):345-56. doi: 10.1097/NAQ.0000000000000119. Nurs Adm Q. 2015. PMID: 26340247 Review.
Cited by
-
Adapted large language models can outperform medical experts in clinical text summarization.Nat Med. 2024 Apr;30(4):1134-1142. doi: 10.1038/s41591-024-02855-5. Epub 2024 Feb 27. Nat Med. 2024. PMID: 38413730 Free PMC article.
-
Clinical Text Summarization: Adapting Large Language Models Can Outperform Human Experts.Res Sq [Preprint]. 2023 Oct 30:rs.3.rs-3483777. doi: 10.21203/rs.3.rs-3483777/v1. Res Sq. 2023. Update in: Nat Med. 2024 Apr;30(4):1134-1142. doi: 10.1038/s41591-024-02855-5. PMID: 37961377 Free PMC article. Updated. Preprint.
-
Issues with the Swedish e-prescribing system - An analysis of health information technology-related incident reports using an existing classification system.Digit Health. 2022 Oct 11;8:20552076221131139. doi: 10.1177/20552076221131139. eCollection 2022 Jan-Dec. Digit Health. 2022. PMID: 36249479 Free PMC article.
-
Design and Evaluation of an Electronic Information Exchange System Connecting Laboratories and Physicians' Offices.Perspect Health Inf Manag. 2022 Jul 1;19(3):1h. eCollection 2022 Summer. Perspect Health Inf Manag. 2022. PMID: 36035330 Free PMC article.
-
Assessment of Health Information Technology-Related Outpatient Diagnostic Delays in the US Veterans Affairs Health Care System: A Qualitative Study of Aggregated Root Cause Analysis Data.JAMA Netw Open. 2020 Jun 1;3(6):e206752. doi: 10.1001/jamanetworkopen.2020.6752. JAMA Netw Open. 2020. PMID: 32584406 Free PMC article.
References
-
- Poon EG, Gandhi TK, Sequist TD, et al. “I wish I had seen this test result earlier!”: dissatisfaction with test result management systems in primary care. Arch Intern Med 2004;164:2223–8 - PubMed
-
- Hanna D, Griswold P, Leape LL, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf 2005;31:68–80 - PubMed
-
- Schiff GD. Introduction: communicating critical test results. Jt Comm J Qual Patient Saf 2005;31:63–5, 61. - PubMed
