Unintended errors with EHR-based result management: a case series

作者：Thomas R. Yackel, Peter J. Embí · 发表于：Journal of the American Medical Informatics Association · 年份：2010 · DOI：10.1197/jamia.m3294 · 被引用次数：49 · 研究领域：Electronic Health Records Systems、Clinical Laboratory Practices and Quality Control、Clinical practice guidelines implementation

Test result management is an integral aspect of quality clinical care and a crucial part of the ambulatory medicine workflow. Correct and timely communication of results to a provider is the necessary first step in ambulatory result management and has been identified as a weakness in many paper-based systems. While electronic health records (EHRs) hold promise for improving the reliability of result management, the complexities involved make this a challenging task. Experience with test result management is reported, four new categories of result management errors identified are outlined, and solutions developed during a 2-year deployment of a commercial EHR are described. Recommendations for improving test result management with EHRs are then given.