RESUMO
Test non-completion decreases quality of care and accounts for many diagnosis-related malpractice claims. Currently, clinicians using Partners' electronic Longitudinal Medical Record (LMR) can track results but lack a mechanism for tracking non-completed tests. This pilot intervention will study an "order tracking" functionality that flags newly-ordered tests and will lead to generation of written patient reminders if tests are not completed within pre-specified timeframes. If test completion rates improve, we will pursue development of a dedicated LMR application.
Assuntos
Assistência Ambulatorial/métodos , Sistemas de Informação em Laboratório Clínico , Controle de Formulários e Registros , Sistemas de Registro de Ordens Médicas , Registro Médico Coordenado , Sistemas Computadorizados de Registros Médicos , Medical Subject Headings , MassachusettsRESUMO
While Ambulatory Computerized Physician Order Entry (ACPOE) may improve health care quality, the impact on clinician time may impose a barrier to implementation. We performed a time-motion analysis to evaluate this potential impact. The results indicate that there is no significant impact on clinicians' time with patients. Further analyses will assess ACPOE's impact on clinic time between patient visits.