ArticleJournal of the American Medical Informatics Association : JAMIA
Primary care practitioners' views on test result management in EHR-enabled health systems: a national survey.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Communicating blood test results in primary care: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.BMC cancer · 2021Pooled it
- The impact of health information technology on the management and follow-up of test results - a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge.Journal of general internal medicine · 2018Pooled it
- Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets.Journal of general internal medicine · 2017Trial
- Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015Trial
- Electronic Health Record Time Allocation Among Primary Care Clinicians at the Veterans Health Administration Using Virtual Observations.Journal of general internal medicine · 2025Article
- Electronic safety-netting tool features considered important by UK general practice staff: an interview and Delphi consensus study.BJGP open · 2023Article
- Using an electronic safety netting tool designed to improve safety with respect to cancer referral in primary care: a qualitative service evaluation using rapid appraisal methods.BMJ open quality · 2023Article
- Preventing lost-to-follow up diagnostic imaging in ambulatory care: evaluation of an electronic notification tool.BMJ open quality · 2023Article
- Physicians' Perspectives on a Multi-Dimensional Model for the Roles of Electronic Health Records in Approaching a Proper Differential Diagnosis.Journal of personalized medicine · 2023Article
- Electronic Health Records' Support for Primary Care Physicians' Situation Awareness: A Metanarrative Review.Human factors · 2023Review
- Electronic Co-design (ECO-design) Workshop for Increasing Clinician Participation in the Design of Health Services Interventions: Participatory Design Approach.JMIR human factors · 2022Article
- Translating Data Analytics Into Improved Spine Surgery Outcomes: A Roadmap for Biomedical Informatics Research in 2021.Global spine journal · 2022Article
- The person-based development and realist evaluation of a summary report for GP consultations [version 1; peer review: 2 approved].NIHR open research · 2022Article
- Why Test Results Are Still Getting "Lost" to Follow-up: a Qualitative Study of Implementation Gaps.Journal of general internal medicine · 2022Article
- Using Real-world Data for Decision Support: Recommendations from a Primary Care Provider Survey.The Permanente journal · 2021Article
- Physician Stress During Electronic Health Record Inbox Work: In Situ Measurement With Wearable Sensors.JMIR medical informatics · 2021Article
- Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.JAMIA open · 2020Article
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
contextFailure to notify patients of test results is common even when electronic health records (EHRs) are used to report results to practitioners. We sought to understand the broad range of social and technical factors that affect test result management in an integrated EHR-based health system.
methodsBetween June and November 2010, we conducted a cross-sectional, web-based survey of all primary care practitioners (PCPs) within the Department of Veterans Affairs nationwide. Survey development was guided by a socio-technical model describing multiple inter-related dimensions of EHR use.
findingsOf 5001 PCPs invited, 2590 (51.8%) responded. 55.5% believed that the EHRs did not have convenient features for notifying patients of test results. Over a third (37.9%) reported having staff support needed for notifying patients of test results. Many relied on the patient's next visit to notify them for normal (46.1%) and abnormal results (20.1%). Only 45.7% reported receiving adequate training on using the EHR notification system and 35.1% reported having an assigned contact for technical assistance with the EHR; most received help from colleagues (60.4%). A majority (85.6%) stayed after hours or came in on weekends to address notifications; less than a third reported receiving protected time (30.1%). PCPs strongly endorsed several new features to improve test result management, including better tracking and visualization of result notifications.
conclusionsDespite an advanced EHR, both social and technical challenges exist in ensuring notification of test results to practitioners and patients. Current EHR technology requires significant improvement in order to avoid similar challenges elsewhere.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.