Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital

Andrew Georgiou; Sharyn Lymer; Megan Forster; Michael Strachan; Sara Graham; Geof Hirst; Joanne Callen; Johanna I. Westbrook

doi:10.1136/amiajnl-2013-002466

Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital

Andrew Georgiou^*, Sharyn Lymer, Megan Forster, Michael Strachan, Sara Graham, Geof Hirst, Joanne Callen, Johanna I. Westbrook

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

23 Citations (Scopus)

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Abstract

This study describes the implementation and impact of an electronic test result acknowledgement (RA) system in the Mater Mothers' Hospital in Brisbane, Australia. The Verdi application electronically records clinicians' acknowledgement of the review of results. Hospital data (August 2011-August 2012) were extracted to measure clinicians' acknowledgement practices. There were 27 354 inpatient test results for 6855 patients. All test results were acknowledged. 60% (95% CI 59% to 61%) of laboratory and 44% (95% CI 40% to 48%) of imaging results were acknowledged within 24 h. The median time between report availability and acknowledgement was 18.1 h for laboratory and 1 day 18 h for imaging results. The median time from when a result was first viewed to its acknowledgement was 7 min for laboratory and 1 min for imaging results. The longest recorded time to acknowledgement was 38 days. Electronic RA provides a safety net to enhance test result management.

Original language	English
Pages (from-to)	1104-1108
Number of pages	5
Journal	Journal of the American Medical Informatics Association
Volume	21
Issue number	6
DOIs	https://doi.org/10.1136/amiajnl-2013-002466
Publication status	Published - 2014
Externally published	Yes

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Copyright the Author(s). 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.

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10.1136/amiajnl-2013-002466

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title = "Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital",

abstract = "This study describes the implementation and impact of an electronic test result acknowledgement (RA) system in the Mater Mothers' Hospital in Brisbane, Australia. The Verdi application electronically records clinicians' acknowledgement of the review of results. Hospital data (August 2011-August 2012) were extracted to measure clinicians' acknowledgement practices. There were 27 354 inpatient test results for 6855 patients. All test results were acknowledged. 60% (95% CI 59% to 61%) of laboratory and 44% (95% CI 40% to 48%) of imaging results were acknowledged within 24 h. The median time between report availability and acknowledgement was 18.1 h for laboratory and 1 day 18 h for imaging results. The median time from when a result was first viewed to its acknowledgement was 7 min for laboratory and 1 min for imaging results. The longest recorded time to acknowledgement was 38 days. Electronic RA provides a safety net to enhance test result management.",

author = "Andrew Georgiou and Sharyn Lymer and Megan Forster and Michael Strachan and Sara Graham and Geof Hirst and Joanne Callen and Westbrook, {Johanna I.}",

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doi = "10.1136/amiajnl-2013-002466",

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volume = "21",

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journal = "Journal of the American Medical Informatics Association",

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Georgiou, A, Lymer, S, Forster, M, Strachan, M, Graham, S, Hirst, G, Callen, J & Westbrook, JI 2014, 'Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital', Journal of the American Medical Informatics Association, vol. 21, no. 6, pp. 1104-1108. https://doi.org/10.1136/amiajnl-2013-002466

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T1 - Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital

AU - Georgiou, Andrew

AU - Lymer, Sharyn

AU - Forster, Megan

AU - Strachan, Michael

AU - Graham, Sara

AU - Hirst, Geof

AU - Callen, Joanne

AU - Westbrook, Johanna I.

N1 - Copyright the Author(s). 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.

PY - 2014

Y1 - 2014

N2 - This study describes the implementation and impact of an electronic test result acknowledgement (RA) system in the Mater Mothers' Hospital in Brisbane, Australia. The Verdi application electronically records clinicians' acknowledgement of the review of results. Hospital data (August 2011-August 2012) were extracted to measure clinicians' acknowledgement practices. There were 27 354 inpatient test results for 6855 patients. All test results were acknowledged. 60% (95% CI 59% to 61%) of laboratory and 44% (95% CI 40% to 48%) of imaging results were acknowledged within 24 h. The median time between report availability and acknowledgement was 18.1 h for laboratory and 1 day 18 h for imaging results. The median time from when a result was first viewed to its acknowledgement was 7 min for laboratory and 1 min for imaging results. The longest recorded time to acknowledgement was 38 days. Electronic RA provides a safety net to enhance test result management.

AB - This study describes the implementation and impact of an electronic test result acknowledgement (RA) system in the Mater Mothers' Hospital in Brisbane, Australia. The Verdi application electronically records clinicians' acknowledgement of the review of results. Hospital data (August 2011-August 2012) were extracted to measure clinicians' acknowledgement practices. There were 27 354 inpatient test results for 6855 patients. All test results were acknowledged. 60% (95% CI 59% to 61%) of laboratory and 44% (95% CI 40% to 48%) of imaging results were acknowledged within 24 h. The median time between report availability and acknowledgement was 18.1 h for laboratory and 1 day 18 h for imaging results. The median time from when a result was first viewed to its acknowledgement was 7 min for laboratory and 1 min for imaging results. The longest recorded time to acknowledgement was 38 days. Electronic RA provides a safety net to enhance test result management.

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Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital

Abstract

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Can technology make communication in complex systems safer and more efficient? Evaluation of an electronic test management system in health care.

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Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital

Abstract

Bibliographical note

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Other files and links

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Can technology make communication in complex systems safer and more efficient? Evaluation of an electronic test management system in health care.

Cite this