What is the impact of an electronic test result acknowledgement system on Emergency Department physicians’ work processes? A mixed-method pre-post observational study

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• 作者：Andrew Georgiou^a ; ^{andrew.georgiou@mq.edu.au} ; ^{AndrewGeorgiou2001@yahoo.ie} ; Euan J. McCaughey^a ; Amina Tariq^a ; ^b ; Scott R. Walter^a ; Julie Li^a ; Joanne Callen^a ; Richard Paoloni^c ; ^d ; William B. Runciman^e ; ^f ; ^g ; ^h ; Johanna I Westbrook^a
• 关键词：Information systems ; Test result follow-up ; Laboratory ; Medical imaging ; Emergency Department
• 刊名：International Journal of Medical Informatics
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：99
• 期：Complete
• 页码：29-36
• 全文大小：1539 K
• 卷排序：99

文摘

Electronic systems can be used to track pending test, deliver result notifications, and document result acknowledgement. Although a non-significant increase in the average time taken to acknowledge results not requiring further action was observed, acknowledgement of more complex results (e.g., where further information or action might be required before result is endorsed) took less time to complete post system implementation. Instances where physicians sought additional clinical information during the test result endorsement process increased significantly post system implementation. Greater accessibility to clinical information in an integrated electronic result acknowledgement system increases contextualisation of results and improves physician decision making during the test result endorsement process.