A qualitative analysis of Emergency Department physicians' practices and perceptions in relation to test result follow-up

Joanne Callen*, Andrew Georgiou, Mirela Prgomet, Richard Paoloni, Johanna Westbrook

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

3 Citations (Scopus)

Abstract

Follow-up of abnormal test results for discharged Emergency Department (ED) patients is a critical safety issue. This study aimed to explore ED physicians' perceptions, practices, and suggestions for improvements of test result follow-up when using an electronic provider order entry system to order all laboratory and radiology tests and view results. Interviews were conducted with seven ED physicians and one clinical information system support person. Interviews were analyzed to elicit key concepts relating to physicians' perceptions of test result follow-up and how the process could be improved. Results described the current electronic test result follow-up system with two paper-based manual back-up systems for microbiology and radiology results. The key issues for physicians were: responsibility for test follow-up; the unique ED environment and time pressures, and the role of the family physician in test result follow-up. The key suggestion for improvement was a complete integrated electronic information system with on-line result endorsement. The study highlighted the complexity of the test result follow-up process and the importance of engaging clinicians in devising solutions for improvements.

Original languageEnglish
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
EditorsC. Safran, S. Reti, H.F. Marin
Place of PublicationAmsterdam
PublisherIOS Press
Pages1241-1245
Number of pages5
Volume160
EditionPART 1
ISBN (Print)9781607505877
DOIs
Publication statusPublished - 2010
Externally publishedYes
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: 12 Sep 201015 Sep 2010

Other

Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town
Period12/09/1015/09/10

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  • Cite this

    Callen, J., Georgiou, A., Prgomet, M., Paoloni, R., & Westbrook, J. (2010). A qualitative analysis of Emergency Department physicians' practices and perceptions in relation to test result follow-up. In C. Safran, S. Reti, & H. F. Marin (Eds.), Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., Vol. 160, pp. 1241-1245). Amsterdam: IOS Press. https://doi.org/10.3233/978-1-60750-588-4-1241