What factors determine the use of an electronic test result acknowledgement system?

A qualitative study across two EDs

Julie Li*, Joanne Callen, Johanna I. Westbrook, Andrew Georgiou

*Corresponding author for this work

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

1 Citation (Scopus)
45 Downloads (Pure)

Abstract

Electronic medical record-based test results management interventions hold the potential to reduce errors in the test result follow-up process. However, ensuring the adaptability of such systems to the clinical environment has proven challenging. The aim of this study was to explore how contextual factors can influence senior emergency physicians' experience and perceived impacts of an electronic result acknowledgement system across two Emergency Departments. Semi-structured, in-depth interviews relating to physician test result acknowledgement processes before and after system implementation were conducted with 14 senior Emergency Physicians across two Australian metropolitan teaching hospitals. Perceived impacts of the electronic test result acknowledgement system on test result endorsement varied in terms of: changes to workflow, impacts on patient safety; and changes to documentation practices. Existing work practices and the departmental staffing mix and roles play a part in determining the nature of change that an electronic result acknowledgement system is likely to produce.

Original languageEnglish
Title of host publicationIntegrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017
EditorsAngela Ryan, Louise K. Schaper, Sue Whetton
PublisherIOS Press
Pages70-76
Number of pages7
Volume239
ISBN (Electronic)9781614997825
ISBN (Print)9781614997825
DOIs
Publication statusPublished - 2017
Event25th Australian National Health Informatics Conference, HIC 2017 - Brisbane, Australia
Duration: 6 Aug 20179 Aug 2017

Publication series

NameStudies in Health Technology and Informatics
Volume239
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference25th Australian National Health Informatics Conference, HIC 2017
CountryAustralia
CityBrisbane
Period6/08/179/08/17

Bibliographical note

Copyright the Author(s) 2017. 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

  • electronic result acknowledgement
  • eMR
  • missed test results
  • patient safety
  • qualitative studies
  • workflow

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  • Cite this

    Li, J., Callen, J., Westbrook, J. I., & Georgiou, A. (2017). What factors determine the use of an electronic test result acknowledgement system? A qualitative study across two EDs. In A. Ryan, L. K. Schaper, & S. Whetton (Eds.), Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017 (Vol. 239, pp. 70-76). (Studies in Health Technology and Informatics; Vol. 239). IOS Press. https://doi.org/10.3233/978-1-61499-783-2-70