{"id":1772,"date":"2015-12-28T08:04:15","date_gmt":"2015-12-28T16:04:15","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=1772"},"modified":"2015-12-18T15:09:14","modified_gmt":"2015-12-18T23:09:14","slug":"patient-safety-in-office-practice-test-result-management","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=1772","title":{"rendered":"Patient Safety in Office Practice – Test Result Management"},"content":{"rendered":"

Primary care physicians order a lot of tests \u2013 to diagnose complaints, to monitor chronic diseases, to check medication levels, to screen for health risks and early disease. A survey of over 1700 physicians in 2013 suggested that 31.4% of encounters resulted in a laboratory order. The same survey suggested that 15% of the time, the physician was uncertain as to what to order. On receiving results, nearly 10% of results were difficult to interpret. 6% of all office visits have a missing laboratory. Studies have found that up to 54% of errors in the primary care office are related to the testing process.<\/p>\n

\"test<\/a><\/p>\n

This process model suggests that laboratory test errors can result from:<\/p>\n

    \n
  1. Uncertainty about which test to order<\/li>\n
  2. Performance of the test in the lab<\/li>\n
  3. Tracking of results in the office<\/li>\n
  4. Timely and appropriate response to test results<\/li>\n<\/ol>\n

    What are strategies in office practice that can minimize test result errors, and protect your patient from failures in the system? Dr. Nancy Elder, a family physician who has conducted extensive research in office based patient safety, has promoted a set of organization safety measures for better managing test results in office practice.<\/p>\n

      \n
    1. Identify specific staff members<\/strong> to manage the receipt and filing\/processing of laboratory results<\/li>\n
    2. Develop relationships with your clinical pathologist.<\/strong> Consult them for any ordering question.<\/li>\n
    3. Develop protocol for results management<\/strong> including ordering process, review by whom and by when, tracking and monitoring results, and communication of results to patients<\/li>\n
    4. Specific protocols written for laboratory test ordering, and design into order sets for your HER<\/strong><\/li>\n
    5. Standardize correspondence with patients<\/strong>– what requires phone call, what is written.<\/li>\n<\/ol>\n

       <\/p>\n

      NEXT BLOG:<\/strong> infection prevention in office settings.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Primary care physicians order a lot of tests \u2013 to diagnose complaints, to monitor chronic diseases, to check medication levels, to screen for health risks and early disease.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1772","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nPatient Safety in Office Practice - Test Result Management - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=1772\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Safety in Office Practice - 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