Balancing risk and resilience: a comparison of the use of a test result management system across two EDs

Julie Li, Maria R. Dahm, Judith Thomas, Joanne Callen, Johanna I. Westbrook, Andrew Georgiou

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

2 Citations (Scopus)
26 Downloads (Pure)


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.
Original languageEnglish
Title of host publicationConnecting the System to Enhance the Practitioner and Consumer Experience in Healthcare
Subtitle of host publicationSelected Papers from the 26th Australian National Health Informatics Conference (HIC 2018)
EditorsElizabeth Cummings, Angela Ryan, Louise K. Schaper
Place of PublicationAmsterdam
PublisherIOS Press
Number of pages7
ISBN (Electronic)9781614998907
ISBN (Print)9781614998891
Publication statusPublished - 2018
Event26th Australian National Health Informatics Conference (HIC 2018) - Sydney, Australia
Duration: 29 Jul 20181 Aug 2018

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS PRESS
ISSN (Print)0926-9630


Conference26th Australian National Health Informatics Conference (HIC 2018)

Bibliographical 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.


  • Risk
  • resilience in healthcare
  • missed test results
  • eMR
  • electronic result acknowledgement
  • qualitative studies
  • electronic results acknowledgement
  • resilience


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