J Am Med Inform Assoc - Design and implementation of an automated email notification system for results of tests pending at discharge.

Tópicos

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Resumo

Physicians are often unaware of the results of tests pending at discharge (TPADs). The authors designed and implemented an automated system to notify the responsible inpatient physician of the finalized results of TPADs using secure, network email. The system coordinates a series of electronic events triggered by the discharge time stamp and sends an email to the identified discharging attending physician once finalized results are available. A carbon copy is sent to the primary care physicians in order to facilitate communication and the subsequent transfer of responsibility. Logic was incorporated to suppress selected tests and to limit notification volume. The system was activated for patients with TPADs discharged by randomly selected inpatient-attending physicians during a 6-month pilot. They received approximately 1.6 email notifications per discharged patient with TPADs. Eighty-four per cent of inpatient-attending physicians receiving automated email notifications stated that they were satisfied with the system in a brief survey (59% survey response rate). Automated email notification is a useful strategy for managing results of TPADs.

Resumo Limpo

physician often unawar result test pend discharg tpad author design implement autom system notifi respons inpati physician final result tpad use secur network email system coordin seri electron event trigger discharg time stamp send email identifi discharg attend physician final result avail carbon copi sent primari care physician order facilit communic subsequ transfer respons logic incorpor suppress select test limit notif volum system activ patient tpad discharg random select inpatientattend physician month pilot receiv approxim email notif per discharg patient tpad eightyfour per cent inpatientattend physician receiv autom email notif state satisfi system brief survey survey respons rate autom email notif use strategi manag result tpad

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