Design and implementation of a comprehensive outpatient Results Manager
Open accessAbstract
Prior research has demonstrated that clinicians often fail to review and act upon outpatient test results in a timely and appropriate manner. To address this patient safety and quality of care issue, Partners Healthcare has developed a browser-based, provider-centric, comprehensive results management application to help clinic physicians review and act upon test results in a safe, reliable, and efficient manner. The application, called the Results Manager, incorporates extensive decision support features to classify the degree of abnormality for each result, presents guidelines to help clinicians manage abnormal results, allows clinicians to generate result letters to patients with predefined, context-sensitive templates and prompts physicians to set reminders for future testing. In this paper, we outline the design process and functionality of Results Manager. We also discuss its underlying architectural design, which revolves around a clinical event monitor and a rules engine, and the methodological challenges encountered in designing this application.
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Integrated electronic medical record systems that automatically notify providers of abnormal test results may provide a solution.
“Automated systems notifying providers about abnormal test results in integrated electronic medical record systems offer a potential solution.”
From Notification of Abnormal Lab Test Results in an Electronic Medical Record: Do Any Safety Concerns Remain? (2010) · cites this paper as [18]
Achieving high standards of patient safety through the use of IT also entails system redesign to include formal policies and procedures regarding the use of IT.
“Thus, achieving high standards of patient safety through the use of IT also entails system redesign to include formal policies and procedures regarding the use of IT.43–47”
From Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology (2008) · cites this paper as [46]
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- Authors
- Poon, E. G., Wang, S. J., Gandhi, T. K., Bates, D. W., & Kuperman, G. J.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Poon, Eric G.
- Venue
- Journal of Biomedical Informatics
- Publisher
- Elsevier BV
- Published
- 2003-02
- Volume
- 36
- Issue
- 1-2
- Pages
- 80-91
- ISSN
- 1532-0464 (ISSN-L)
- OpenAlex
- W2045149120
- Cited by
- 111
- References
- 21
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 9 · 2014: 5 · 2013: 6 · 2012: 8
- FWCI
- 11.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Biomedical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (R01 1U18 HS 11046-03, HS11046)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Keywords
- clinical decision support, patient reminders, rule engine, web application, patient safety, quality of care, application architecture
- MeSH terms
- Ambulatory Care, Database Management Systems, Diagnosis, Computer-Assisted, Knowledge of Results, Psychological, Patient Care Management, Pilot Projects, Software, Software Design, Software Validation, User-Computer Interface, Information Storage and Retrieval, Medical Records Systems, Computerized, Medical Errors, Decision Support Systems, Clinical
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