AMIA Annu Symp Proc - Duplicate patient records--implication for missed laboratory results.

Tópicos

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Resumo

TRODUCTION: Although duplicate records are a potential patient safety hazard, the actual clinical harm associated with these records has never been studied. We hypothesized that duplicate records will be associated with missed abnormal laboratory results.METHODS: A retrospective, matched, cohort study of 904 events of abnormal laboratory result (HgbA1c, TSH, Vitamin B(12), LDL). We compared the rates of missed laboratory results between patients with duplicate and non-duplicate records from the ambulatory clinics. Cases were matched according to test and ordering physician.RESULTS: Duplicate records were associated with a higher rate of missed laboratory results (OR=1.44, 95% CI 1.1-1.9). Other factors associated with missed lab results were tests performed as screening (OR=2.22, 95% CI 1.4-3.4), and older age (OR=1.15 for every decade, 95% CI 1.01-1.2). In most cases test results were reported into the main patient record.DISCUSSION: Duplicate records were associated with a higher risk of missing important laboratory results.

Resumo Limpo

troduct although duplic record potenti patient safeti hazard actual clinic harm associ record never studi hypothes duplic record will associ miss abnorm laboratori resultsmethod retrospect match cohort studi event abnorm laboratori result hgbac tsh vitamin b ldl compar rate miss laboratori result patient duplic nondupl record ambulatori clinic case match accord test order physicianresult duplic record associ higher rate miss laboratori result ci factor associ miss lab result test perform screen ci older age everi decad ci case test result report main patient recorddiscuss duplic record associ higher risk miss import laboratori result

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