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
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
