Well, this sounds very nice in theory, but
can I just ask how many of us, when there are a number of unread e-mails in our
inbox, rush to read them as soon as possible?
Just to keep the discussion going…
Angela
From:
Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of Eric Kilpatrick
Sent: 27 July 2009 17:09
To: [log in to unmask]
Subject: Re: Viewing of electronic
reports
As Rick says, this seems to be an endemic feature of
electronic reporting and little seems to have changed since we reported similar
findings from data collected a decade ago.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=gateway&pubmedid=11337442
I would love to see a system that, rather than needing to actively look up data
on a patient to see if the result is through (assuming you know they have
had a test done in the first place), appears like an email inbox showing the
number of unread results.
Eric
Professor E S Kilpatrick
Department of Clinical Biochemistry
Hull HU3 2JZ
Tel 01482-607708
Fax 01482-607752
Date: Thu, 23 Jul 2009 14:53:34
+0100
From: [log in to unmask]
Subject: Re: Viewing of electronic reports
To: [log in to unmask]
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
CM1 7ET
01245 515036
07919 016847
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