Monitoring the impact of the electronic medical record on the quality of laboratory test ordering practices

Andrew Georgiou*, Elia Vecellio, George Toouli, Alex Eigenstetter, Ling Li, Roger Wilson, Johanna I. Westbrook

*Corresponding author for this work

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

10 Citations (Scopus)

Abstract

The aim of this study was to examine the impact of the Electronic Medical Record (EMR) on the quality of laboratory test orders made by clinicians. The study assessed the type and frequency of pre-analytical laboratory test order errors that were associated with the EMR across three hospitals and one pathology service. This involved a retrospective audit of the laboratory error logs for the period 1 March 2010 to 9 October 2011. Test order problems associated with the EMR occurred at a total rate of 1.34 per 1000 test order episodes across the three hospitals. In the majority of cases these errors were caused by the inappropriate use of the EMR system by clinicians. The errors resulted in increased data entry time for laboratory staff in the Central Specimen Reception area and led to a median increase of 181 minutes in test turnaround times for those test orders. The study highlights the importance of monitoring and comparing the impact of EMR systems in different locations over time in order to identify (and act upon) factors that can adversely impact on the effectiveness of pathology laboratory processes.

Original languageEnglish
Title of host publicationHealth Informatics: Digital Health Service Delivery - The Future is Now! - Selected Papers from the 21st Australian National Health Informatics Conference, HIC 2013
EditorsHeather Grain, Louise K. Schaper
Place of PublicationAmsterdam, Netherlands
PublisherIOS Press
Pages33-38
Number of pages6
Volume188
ISBN (Print)9781614992653, 1614992657
DOIs
Publication statusPublished - 2013
Externally publishedYes
Event21st Australian National Health Informatics Conference, HIC 2013 - Adelaide, SA, Australia
Duration: 15 Jul 201318 Jul 2013

Other

Other21st Australian National Health Informatics Conference, HIC 2013
CountryAustralia
CityAdelaide, SA
Period15/07/1318/07/13

Fingerprint

Dive into the research topics of 'Monitoring the impact of the electronic medical record on the quality of laboratory test ordering practices'. Together they form a unique fingerprint.

Cite this