Pending laboratory test results at the time of discharge

a 3-year retrospective comparison of paper versus electronic test ordering in three emergency departments

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

2 Citations (Scopus)
12 Downloads (Pure)

Abstract

Pending laboratory test results at discharge can have major adverse health outcomes. The availability of test results at discharge may depend on whether the tests were ordered electronically or by using a paper-based system. The aim of this study was to determine the rate of pending test results at time of discharge from Emergency Departments (ED), and compare the rate for paper-based and electronic orders across three EDs in New South Wales, Australia. This retrospective study described 71,466 ED presentations with 357,476 laboratory tests across three years (2014–2016). Only patients who were treated in ED and eventually discharged from ED were included. Most tests were ordered using the electronic system (97.2%, n=347,469). The rate of pending test results was significantly lower for electronic orders (6.6%, n=22,928) than for paper orders (9.7%, n=966): a difference of 3.1%. Similar differences were observed when analysis was done by year of ED presentation. Moreover, in a subgroup analysis that included the top five high volume tests, four of the five tests had significantly lower rates of pending test results for electronic orders than for paper-based orders. The study highlighted an important benefit of ordering tests via electronic system which can potentially improve patient outcomes.
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
Pages164-169
Number of pages6
ISBN (Electronic)9781614998907
ISBN (Print)9781614998891
DOIs
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
Volume252
ISSN (Print)0926-9630

Conference

Conference26th Australian National Health Informatics Conference (HIC 2018)
CountryAustralia
CitySydney
Period29/07/181/08/18

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.

Keywords

  • pending test results
  • emergency department
  • order type
  • electronic ordering
  • paper order
  • Pending test results

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  • Cite this

    Wabe, N., Li, L., Sezgin, G., Dahm, M., Vecellio, E., Lindeman, R., ... Georgiou, A. (2018). Pending laboratory test results at the time of discharge: a 3-year retrospective comparison of paper versus electronic test ordering in three emergency departments. In E. Cummings, A. Ryan, & L. K. Schaper (Eds.), Connecting the System to Enhance the Practitioner and Consumer Experience in Healthcare: Selected Papers from the 26th Australian National Health Informatics Conference (HIC 2018) (pp. 164-169). (Studies in health technology and informatics; Vol. 252). Amsterdam: IOS Press. https://doi.org/10.3233/978-1-61499-890-7-164