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

Highlights • The electronic results acknowledgement system led to changes in the way test results and actions were collated, stored, documented and communicated. • Although a non-significant increase in the average time taken to acknowledge results not requiring further action was observed, acknowle...

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Veröffentlicht in:International journal of medical informatics (Shannon, Ireland) Ireland), 2017-03, Vol.99, p.29-36
Hauptverfasser: Georgiou, Andrew, McCaughey, Euan J, Tariq, Amina, Walter, Scott R, Li, Julie, Callen, Callen Joanne, Richard, Runciman, William B, Westbrook, Johanna I
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container_end_page 36
container_issue
container_start_page 29
container_title International journal of medical informatics (Shannon, Ireland)
container_volume 99
creator Georgiou, Andrew
McCaughey, Euan J
Tariq, Amina
Walter, Scott R
Li, Julie
Callen, Callen Joanne
Richard
Runciman, William B
Westbrook, Johanna I
description Highlights • The electronic results acknowledgement system led to changes in the way test results and actions were collated, stored, documented and communicated. • Although a non-significant increase in the average time taken to acknowledge results not requiring further action was observed, acknowledgement of more complex results (eg, 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.
doi_str_mv 10.1016/j.ijmedinf.2016.12.006
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Australia
Continuity of Patient Care - standards
Decision Support Systems, Clinical
Diagnostic Tests, Routine
Electronic Health Records - utilization
Emergency Department
Emergency Service, Hospital - organization & administration
Emergency Service, Hospital - standards
Follow-Up Studies
Humans
Information systems
Internal Medicine
Laboratory
Medical imaging
Other
Patient Discharge
Practice Patterns, Physicians
Radiology
Test result follow-up
title 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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