BMC Med Inform Decis Mak - Does electronic clinical microbiology results reporting influence medical decision making: a pre- and post-interview study of medical specialists.

Tópicos

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Resumo

CKGROUND: Clinicians view the accuracy of test results and the turnaround time as the two most important service aspects of the clinical microbiology laboratory. Because of the time needed for the culturing of infectious agents, final hardcopy culture results will often be available too late to have a significant impact on early antimicrobial therapy decisions, vital in infectious disease management. The clinical microbiologist therefore reports to the clinician clinically relevant preliminary results at any moment during the diagnostic process, mostly by telephone. Telephone reporting is error prone, however. Electronic reporting of culture results instead of reporting on paper may shorten the turnaround time and may ensure correct communication of results. The purpose of this study was to assess the impact of the implementation of electronic reporting of final microbiology results on medical decision making.METHODS: In a pre- and post-interview study using a semi-structured design we asked medical specialists in our hospital about their use and appreciation of clinical microbiology results reporting before and after the implementation of an electronic reporting system.RESULTS: Electronic reporting was highly appreciated by all interviewed clinicians. Major advantages were reduction of hardcopy handling and the possibility to review results in relation to other patient data. Use and meaning of microbiology reports differ significantly between medical specialties. Most clinicians need preliminary results for therapy decisions quickly. Therefore, after the implementation of electronic reporting, telephone consultation between clinician and microbiologist remained the key means of communication.CONCLUSIONS: Overall, electronic reporting increased the workflow efficiency of the medical specialists, but did not have an impact on their decision-making.

Resumo Limpo

ckground clinician view accuraci test result turnaround time two import servic aspect clinic microbiolog laboratori time need cultur infecti agent final hardcopi cultur result will often avail late signific impact earli antimicrobi therapi decis vital infecti diseas manag clinic microbiologist therefor report clinician clinic relev preliminari result moment diagnost process most telephon telephon report error prone howev electron report cultur result instead report paper may shorten turnaround time may ensur correct communic result purpos studi assess impact implement electron report final microbiolog result medic decis makingmethod pre postinterview studi use semistructur design ask medic specialist hospit use appreci clinic microbiolog result report implement electron report systemresult electron report high appreci interview clinician major advantag reduct hardcopi handl possibl review result relat patient data use mean microbiolog report differ signific medic specialti clinician need preliminari result therapi decis quick therefor implement electron report telephon consult clinician microbiologist remain key mean communicationconclus overal electron report increas workflow effici medic specialist impact decisionmak

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