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This seems to be about the norm. On our web repository, which accepts diagnostic results from radiology, endoscopy as well as all pathology disciplines, the average look up rate is 58% and has been at that level consistently for 2-3 years.
We know that many of the paper reports are not filed judging from discussions amongst the clinical teams. The impact on clinical care has not been quantified or costed but would make for an interesting and challenging research project.
We also know that telephone enquiries are not making up the difference as we don’t receive that many calls and wouldn’t have the staff to cope if we did.
There is currently interest centrally in working up methods to ensure that result receipt and actions can be acknowledged electronically. I am sure there will be opportunities for the ACB to contribute to that work as it develops.
Rick Jones
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Cathryn Corns
Sent: 23 July 2009 11:16
To: [log in to unmask]; Richard Jones [Pathology]
Subject: Re: Viewing of electronic reports
Louise
I think that this is not unusual, but when I tried to audit this I discovered a problem. The ICE reporting system we use suggested that about half the reports were never reviewed, but when I looked in more detail I found that the audit trail on ICE only showed whether the most recent report had been viewed. An interim report could have been viewed but this part of the audit trail was then overwritten by a later report which would appear as 'not viewed' on the audit trail. Only by unlocking and showing ALL the previous reports could I find whether the report had ever been viewed. When I did this (and it was very tedious!) I found that most reports had been viewed at some point. What had not been viewed were things like TFTs, haematinics etc which took longer to be reported.
If your system operates in the same way you may have to do a bit more digging in the audit trail!
Cathryn
Cathryn Corns
Head of Biochemistry Department
01702 435555 ext 6614
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Tilbrook Louise (Mid Essex Hospital Services NHS Trust)
Sent: 21 July 2009 17:14
To: [log in to unmask]
Subject: Viewing of electronic reports
Our Trust recently moved to electronic order comms requesting for in-patients and we have just been reviewing the first few months data. One notable finding is the high proportion of reports which are not viewed/accessed - over 50% of reports to one of our emergency wards, for example, are never viewed. Some areas do still receive paper reports but there is an inevitable delay before these are despatched and it is doubtful whether they are received/acted on within a clinically relevant timeframe.
For those of you who are also using order comms, I would be grateful for your feedback and whether this parallels your experience.
Kind regards
Louise Tilbrook
Louise Tilbrook
Principal Clinical Scientist
Dept of Clinical Biochemistry
Mid Essex Hospitals NHS Trust
Chelmsford
CM1 7ET
01245 515036
07919 016847
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