TITLE

Notification of Critical Results

AUTHOR(S)
Valenstein, Paul N.; Wagar, Elizabeth A.; Stankovic, Ana K.; Walsh, Molly K.; Schneider, Frank
PUB. DATE
December 2008
SOURCE
Archives of Pathology & Laboratory Medicine;Dec2008, Vol. 132 Issue 12, p1862
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Context.--Hospital accreditors are placing increased emphasis on the timeliness with which critical laboratory results are reported to caregivers. Objective.--To measure the speed of critical result notification at a group of laboratories, identify factors associated with faster reporting, and place findings in the context of the time required to transport and test specimens and to correct critical abnormalities. Design.--Contemporaneous review of 3545 inpatient and emergency department critical result notifications in 121 laboratories enrolled in the College of American Pathologists Q-Probes program. Results.--The median laboratory required a median of 5 minutes for staff to notify someone about a critical result once testing was complete. Laboratories affiliated with smaller institutions (P = .01), rural laboratories (P = .001), and sites that called results before releasing them from the laboratory computer (P = .02) were able to notify caregivers more quickly. There was variation among institutions in the time it took to notify caregivers (interquartile range, 1.5-8 minutes). At the median facility, notification took place 56.5 minutes after the specimen had been collected. Conclusions.--The time required to notify caregivers of a critical laboratory result is a small proportion of the time taken to collect and test specimens or the time that has been reported for caregivers to correct abnormalities. Although failure to notify caregivers of critical results may represent an important patient safety vulnerability, the timeliness of laboratory notification is a minor contributor to total test turnaround time at most institutions.
ACCESSION #
35831500

 

Related Articles

  • Payer Tests Giving Docs Patient Data.  // Health Data Management;Jun2006, Vol. 14 Issue 6, p18 

    The article discusses the pilot program of Blue Cross Blue Shield in Missouri to make patient data available online to emergency department physicians. The data may include the patient's prescribed medications, procedures undergone and contact information. The pilot program will make the data...

  • Patient-generated secure messages and eVisits on a patient portal: are patients at risk? North, Frederick; Crane, Sarah J.; Stroebel, Robert J.; Cha, Stephen S.; Edell, Eric S.; Tulledge-Scheitel, Sidna M. // Journal of the American Medical Informatics Association;Nov2013, Vol. 20 Issue 6, p1143 

    Background Patient portals are becoming increasingly common, but the safety of patient messages and eVisits has not been well studied. Unlike patient-to-nurse telephonic communication, patient messages and eVisits involve an asynchronous process that could be hazardous if patients were using it...

  • Bayesian Information Fusion Networks for Biosurveillance Applications. MNATSAKANYAN, ZARUHI R.; BURKOM, HOWARD S.; COBERLY, JACQUELINE S.; LOMBARDO, JOSEPH S. // Journal of the American Medical Informatics Association;Nov/Dec2009, Vol. 16 Issue 6, p855 

    This study introduces new information fusion algorithms to enhance disease surveillance systems with Bayesian decision support capabilities. A detection system was built and tested using chief complaints from emergency department visits, International Classification of Diseases Revision 9...

  • Hospitals say new rules still pose big hurdles on way to health IT adoption.  // AHA News;7/26/2010, Vol. 46 Issue 15, p1 

    The article reports on the skepticism of many hospital leaders and the American Hospital Association (AHA) on the rules of meaningful use and certification of electronic health records (EHR) systems. Both parties are questioning whether the new rules, which offer improvements over proposed...

  • Keep Patients on Track in the ED.  // Health Management Technology;Dec2009, Vol. 30 Issue 12, p20 

    The article discusses how the inpatient electronic health-records (EHR) system has helped improve emergency department (ED) operations at Eastern Connecticut Health Network (ECHN). According to Robert Carroll, the chairman of emergency medicine and medical director at ECHN, the software has...

  • Building on Success. Anderson, Patricia // Health Management Technology;May2005, Vol. 26 Issue 5, p32 

    Highlights the emergency department information systems (EDIS) from Wellsoft Corp. implemented by the Duke University Emergency Department in Durham, North Carolina in 2001. Reasons behind the need for the EDIS; Inclusion of automation of nurse and physician documentation in the system;...

  • Exceptional Success. Maggio, Michael K.; Perez, Joseph J. // Health Management Technology;Apr2006, Vol. 27 Issue 4, p18 

    The article focuses on the automation of supply chain process employed by Woman's Hospital in Louisiana. The automation have saved time, increased service efficiency and lowered costs. Global Healthcare Exchange LLC helped the company in a achieving the said improvements. The hospital has more...

  • PRACTITIONER APPLICATION. Browning, Susan L. // Journal of Healthcare Management;Nov/Dec2005, Vol. 50 Issue 6, p396 

    The article provides insights into how data may be used by hospitals and other healthcare entities to better understand processes to accomplish their goals. A hospital emergency department can use detailed information time data to better understand patient flow trends on an ongoing basis. With...

  • Briefly.  // Health Management Technology;Jul2007, Vol. 28 Issue 7, p10 

    This section presents news briefs on medical informatics in the U.S. The U.S. Internal Revenue Service (IRS) has released a memo that allows non-profit hospitals to share their electronic health record software and support with physicians without losing their tax-exempt status. Several...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics