Trial reportJournal of the American Medical Informatics Association : JAMIA
Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.
Trial report 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. It is linked to trial NCT01153451 (An Automatic Notification System for Test Results Finalized After Discharge), which is not on this map. Cited by 19 papers, 2 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.
An Automatic Notification System for Test Results Finalized After Discharge
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- 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
- The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: a Cluster-Randomized Controlled Trial.Journal of general internal medicine · 2018Trial
- Digital health RCT interventions for cardiovascular disease risk reduction: a systematic review and meta-analysis.Health and technology · 2022Review
- Why Test Results Are Still Getting "Lost" to Follow-up: a Qualitative Study of Implementation Gaps.Journal of general internal medicine · 2022Article
- Electronic Task Management System: A Pediatric Institution's Experience.Applied clinical informatics · 2020Article
- Factors influencing digital review of pathology test results in an inpatient setting: a cross-sectional study.JAMIA open · 2020Article
- Does health information technology improve acknowledgement of radiology results for discharged Emergency Department patients? A before and after study.BMC medical informatics and decision making · 2020Article
- Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.Applied clinical informatics · 2019Article
- Use of Electronic Health Record Access and Audit Logs to Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study.JMIR medical informatics · 2019Article
- Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review.Journal of hospital medicine · 2018Review
- Semiautomated System for Nonurgent, Clinically Significant Pathology Results.Applied clinical informatics · 2018Article
- Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information.BMC health services research · 2017Article
- Internal Medicine Residents' Perceived Responsibility for Patients at Hospital Discharge: A National Survey.Journal of general internal medicine · 2016Article
- Patient Preferences for Test Result Notification.Journal of general internal medicine · 2015Article
- Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Assessment of follow-up completeness and notification preferences for imaging findings of possible cancer: what happens after radiologists submit their reports?Academic radiology · 2014Article
- Four-year impact of an alert notification system on closed-loop communication of critical test results.AJR. American journal of roentgenology · 2014Article
- Variation in the Management of Test Results after Hospital Discharge: A Pediatric Safety Concern.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivePhysician awareness of the results of tests pending at discharge (TPADs) is poor. We developed an automated system that notifies responsible physicians of TPAD results via secure, network email. We sought to evaluate the impact of this system on self-reported awareness of TPAD results by responsible physicians, a necessary intermediary step to improve management of TPAD results.
methodsWe conducted a cluster-randomized controlled trial at a major hospital affiliated with an integrated healthcare delivery network in Boston, Massachusetts. Adult patients with TPADs who were discharged from inpatient general medicine and cardiology services were assigned to the intervention or usual care arm if their inpatient attending physician and primary care physician (PCP) were both randomized to the same study arm. Patients of physicians randomized to discordant study arms were excluded. We surveyed these physicians 72 h after all TPAD results were finalized. The primary outcome was awareness of TPAD results by attending physicians. Secondary outcomes included awareness of TPAD results by PCPs, awareness of actionable TPAD results, and provider satisfaction.
resultsWe analyzed data on 441 patients. We sent 441 surveys to attending physicians and 353 surveys to PCPs and received 275 and 152 responses from 83 different attending physicians and 112 different PCPs, respectively (attending physician survey response rate of 63%). Intervention attending physicians and PCPs were significantly more aware of TPAD results (76% vs 38%, adjusted/clustered OR 6.30 (95% CI 3.02 to 13.16), p<0.001; 57% vs 33%, adjusted/clustered OR 3.08 (95% CI 1.43 to 6.66), p=0.004, respectively). Intervention attending physicians tended to be more aware of actionable TPAD results (59% vs 29%, adjusted/clustered OR 4.25 (0.65, 27.85), p=0.13). One hundred and eighteen (85%) and 43 (63%) intervention attending physician and PCP survey respondents, respectively, were satisfied with this intervention.
conclusionsAutomated email notification represents a promising strategy for managing TPAD results, potentially mitigating an unresolved patient safety concern. CLINICAL
trial registrationClinicalTrials.gov (NCT01153451).
Indexed as
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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.