Dataset Information

Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees.

ABSTRACT:

Background

Missed test results are a cause of medical error. Few studies have explored test result management in the inpatient setting.

Objective

To examine test result management practices of general internal medicine providers in the inpatient setting, examine satisfaction with practices, and quantify self-reported delays in result follow-up.

Design

Cross-sectional survey.

Participants

General internal medicine attending physicians and trainees (residents and medical students) at three Canadian teaching hospitals.

Main measures

Methods used to track test results; satisfaction with these methods; personal encounters with results respondents "wish they had known about sooner."

Key results

We received surveys from 33/51 attendings and 99/108 trainees (response rate 83%). Only 40.9% of respondents kept a record of all tests they order, and 50.0% had a system to ensure ordered tests were completed. Methods for tracking test results included typed team sign-out lists (40.7%), electronic health record (EHR) functionality (e.g., the electronic "inbox") (38.9%), and personal written or typed lists (14.8%). Almost all trainees (97.9%) and attendings (81.2%) reported encountering at least one test result they "wish they had known about sooner" in the past 2 months (p?=?0.001). A higher percentage of attendings kept a record of tests pending at hospital discharge compared to trainees (75.0% vs. 35.7%, p?ConclusionsCanadian physicians report an array of problems managing test results in the inpatient setting. In the context of prior studies from the outpatient setting, our study suggests a need to develop interventions to prevent missed results and avoid potential patient harms.

SUBMITTER: Bodley T

PROVIDER: S-EPMC6318178 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Publications

Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees.

Bodley Thomas T Kwan Janice L JL Matelski John J Darragh Patrick J PJ Cram Peter P

Journal of general internal medicine 20181008 1

<h4>Background</h4>Missed test results are a cause of medical error. Few studies have explored test result management in the inpatient setting.<h4>Objective</h4>To examine test result management practices of general internal medicine providers in the inpatient setting, examine satisfaction with practices, and quantify self-reported delays in result follow-up.<h4>Design</h4>Cross-sectional survey.<h4>Participants</h4>General internal medicine attending physicians and trainees (residents and medic ...[more]

PMID: 30298242

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Dataset Information

Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees.

Background

Objective

Design

Participants

Main measures

Key results

Publications

Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees.

Similar Datasets

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