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 RA solution was built around a set of procedures based on the health service's test management governance model (shown in figure 2) which begins when a medical officer completes an ERF, a hard copy of which is then printed and transferred to the laboratory or imaging departments, whose systems do not interface with the RA system. If the result is not electronically acknowledged within 3 days, the notification/escalation process is set in motion so that as each day passes, email or pager alerts are sent, initially to the clinical unit's medical officer designated to undertake RA (day 4), and then escalated to the clinical unit support (administration or medical supervisor) to check that the ordering clinician is still correctly listed and/or is not unexpectedly absent) (day 5), clinical unit director (day 7), and the divisional director (day 10). The RA system complements existing medical imaging and laboratory department procedures which require direct phone notification to the referring clinician of a life threatening or significantly abnormal result.
Affiliation: Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, New South Wales, Australia.