Use of computer terminals on wards to access emergency test results: a retrospective audit

BMJ : British Medical Journal
E S Kilpatrick, S Holding

Abstract

To assess delay in clinicians obtaining emergency biochemistry test results when the telephoning of results by laboratory staff is supplanted by installation of computer ward terminals. Retrospective observational study. Accident and emergency department and acute medical admissions ward of a teaching hospital. 3228 emergency requests for biochemistry tests sent from the accident and emergency department and 1836 from the medical admissions ward during August 1999 to January 2000 when there was no recorded telephone contact for results. Proportion of emergency biochemistry results accessed via a ward terminal within 1 or 3 hours of becoming available and the proportion never seen by this means. The results from 1443/3228 (45%) of urgent requests from accident and emergency and 529/1836 (29%) from the admissions ward were never accessed via the ward terminal. Results from 794/3228 (25%) of accident and emergency requests and 413/1836 (22%) of admissions ward requests were seen within 1 hour of becoming available while a further 491/3228 (15%) and 341/1836 (19%) respectively were accessed between 1 and 3 hours. In up to 43/1443 (3%) of the accident and emergency test results that were never looked at the findings might have led t...Continue Reading

References

Dec 8, 1998·Lancet·S M PowsnerP Wright

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Citations

Dec 21, 2011·Journal of General Internal Medicine·Joanne L CallenJulie Li
Apr 17, 2002·Clinica Chimica Acta; International Journal of Clinical Chemistry·Mario Plebani
Jun 18, 2003·International Journal of Medical Informatics·Jeremy C Wyatt, Sylvia M Wyatt
Feb 9, 2011·BMJ Quality & Safety·Joanne CallenJohanna I Westbrook
Nov 25, 2003·Journal of the American Medical Informatics Association : JAMIA·Joan S AshEnrico Coiera
May 15, 2002·Clinical Chemistry and Laboratory Medicine : CCLM·Christopher P Price
May 30, 2006·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
May 30, 2006·Clinical Chemistry and Laboratory Medicine : CCLM·Jonathan Kay
Jan 25, 2007·Clinical Chemistry and Laboratory Medicine : CCLM·Abdurrahman Coskun
Oct 15, 2013·Clinica Chimica Acta; International Journal of Clinical Chemistry·Mario Plebani, Mauro Panteghini
Jun 15, 2011·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani, Giuseppe Lippi
Mar 7, 2014·Journal of the American Medical Informatics Association : JAMIA·Andrew GeorgiouJohanna I Westbrook
Feb 19, 2002·BMJ : British Medical Journal·Ian D Watson, K Lawton
Dec 17, 2015·Critical Reviews in Clinical Laboratory Sciences·Mario Plebani
Aug 13, 2013·Clinics in Laboratory Medicine·Christopher D Doern
Mar 21, 2009·Clinica Chimica Acta; International Journal of Clinical Chemistry·Mario Plebani
Jun 21, 2007·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Sep 24, 2010·Journal of Evaluation in Clinical Practice·Dipender GillLloyd McCann
Apr 8, 2014·Journal of Clinical Pathology·Enrique Rodríguez-BorjaA Carratalá-Calvo
Nov 2, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Arpana R VidyarthiRobert M Wachter
Dec 25, 2019·Journal of Clinical Pharmacy and Therapeutics·Arthur T M WasylewiczRene J E Grouls
Apr 19, 2007·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Oct 25, 2012·Clinical Chemistry and Laboratory Medicine : CCLM·Giuseppe LippiMario Plebani
Jun 14, 2019·Journal of the American Medical Informatics Association : JAMIA·Andrew GeorgiouJohanna I Westbrook
May 26, 2020·The Journal of Surgical Research·Thaddeus J PuzioJennifer L Hartwell

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