@inproceedings{3b810565b6f243e2b756a7ea76e715df,
title = "Balancing risk and resilience: a comparison of the use of a test result management system across two EDs",
abstract = "Understanding the context and nuances of clinical performance at the front-line can provide valuable insights into why the effects of Health Information Technology implementation might differ across sites. It also helps to inform the design of systems that support performance flexibility as clinicians respond to the changing demands of the clinical environment. This study explored the use of an electronic result acknowledgement (eRA) system by physicians at two Emergency Departments (EDs) at Australian metropolitan teaching hospitals to understand how electronic result acknowledgement is managed differently in response to varying environmental demands. Semi-structured, in-depth interviews relating to physician electronic test result acknowledgement processes were conducted with 21 emergency physicians. Physician use of the eRA system differed in four aspects: i) responsibility (i.e. who acknowledges test results); ii) types of tests acknowledged; iii) coordination and synchronisation (i.e. when acknowledgement occurred); and iv) documentation of follow-up actions.",
keywords = "Risk, resilience in healthcare, missed test results, eMR, electronic result acknowledgement, qualitative studies, electronic results acknowledgement, resilience",
author = "Julie Li and Dahm, {Maria R.} and Judith Thomas and Joanne Callen and Westbrook, {Johanna I.} and Andrew Georgiou",
note = "Copyright the Author(s) and IOS Press 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.; 26th Australian National Health Informatics Conference (HIC 2018) ; Conference date: 29-07-2018 Through 01-08-2018",
year = "2018",
doi = "10.3233/978-1-61499-890-7-92",
language = "English",
isbn = "9781614998891",
series = "Studies in Health Technology and Informatics",
publisher = "IOS Press",
pages = "92--98",
editor = "Elizabeth Cummings and Angela Ryan and Schaper, {Louise K.}",
booktitle = "Connecting the System to Enhance the Practitioner and Consumer Experience in Healthcare",
address = "Netherlands",
}