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Search results for "Quality Improvement Strategies"
- Electronic Health Records
- Laboratory Result Tracking Improvement
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Journal Article > Commentary
Gandhi TK, Zuccotti G, Lee TH. N Engl J Med. 2011;365:486-488.
This article describes how missing patient information and disregarded reminders in electronic medical records can contribute to errors in care.
Journal Article > Study
Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.
Failure to adequately follow up on test results is a known problem after hospital discharge, in primary care settings, and within computerized systems. This study reviewed more than 5400 patient medical records from 19 community-based and 4 academic primary care practices and discovered a 7.1% rate of failure to inform (or document informing). Interestingly, investigators found that partial electronic health records (EHRs), with a mix of paper and electronic systems, were associated with higher failure rates than those practices without an EHR or with a complete EHR. Variations in failure rates among practices, ranging from 0% to 26%, suggest that best practices can make a significant difference. A past AHRQ WebM&M commentary discussed the impact of delayed notification for a test result following hospital discharge.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.