Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital.
Bottom Line: There were 27,354 inpatient test results for 6855 patients.The median time from when a result was first viewed to its acknowledgement was 7 min for laboratory and 1 min for imaging results.Electronic RA provides a safety net to enhance test result management.
Affiliation: Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, New South Wales, Australia.Show MeSH
Mentions: The implementation of RA involved a number of strategic and organizational considerations to secure clinical acceptance across the hospital.19 On a strategic level the health service established a governance structure (including an executive-level steering committee led by the hospital's executive director) to ensure that the new system complemented the requirements of the health service. On an operational level it required decisions about how the new RA system would work within existing IT structures and clinical work practices.20 A decision was made to establish a clinical portal system (Verdi) with the capacity to integrate multiple sources of information into a single point of access for clinicians. The electronic request form (ERF) (see figure 1) for ordering tests and the RA functionality were developed in-house to integrate with Verdi, and were introduced in January 2011 after a series of trials. The primary RA interface consisted of an electronic tick box requiring clinicians to indicate that a result had been reviewed. It was accompanied by an ‘unacknowledged test’ list of results awaiting review and a corresponding electronic alert indicating that the patient had unacknowledged test results for over 3 days.
Affiliation: Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, New South Wales, Australia.