Evidence map›Paper›PMID 25796594›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.

Anuj K Dalal, Bailey M Pesterev, Katyuska Eibensteiner, Lisa P Newmark, Lipika Samal, Jeffrey M Rothschild

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anuj K DalalDivision of General Medicine and Primary Care, Brigham and Women's Hospital adalal1@partners.org.
Bailey M PesterevDivision of General Medicine and Primary Care, Brigham and Women's Hospital.
Katyuska EibensteinerDivision of General Medicine and Primary Care, Brigham and Women's Hospital.
Lisa P NewmarkDivision of General Medicine and Primary Care, Brigham and Women's Hospital Partners HealthCare, Inc.
Lipika SamalDivision of General Medicine and Primary Care, Brigham and Women's Hospital.
Jeffrey M RothschildDivision of General Medicine and Primary Care, Brigham and Women's Hospital Partners HealthCare, Inc.

Funding

Health Information Technology for Chronic Kidney Disease ManagementK23DK097187 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI SAMAL, LIPIKA · 2013 to 2017
$920k
Improving Management of Outpatient Actionable Test ResultsR18HS019603 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ROTHSCHILD, JEFFREY MARK · 2010 to 2011
$599k
AHRQ HHS R18 HS019603AHRQ HHS R18 HS019603-03NIDDK NIH HHS K23 DK097187
6 · The paper itself

Abstract

Failure to follow-up nonurgent, clinically significant test results (CSTRs) is an ambulatory patient safety concern. Tools within electronic health records (EHRs) may facilitate test result acknowledgment, but their utility with regard to nonurgent CSTRs is unclear. We measured use of an acknowledgment tool by 146 primary care physicians (PCPs) at 13 network-affiliated practices that use the same EHR. We then surveyed PCPs to assess use of, satisfaction with, and desired enhancements to the acknowledgment tool. The rate of acknowledgment of non-urgent CSTRs by PCPs was 78%. Of 73 survey respondents, 72 reported taking one or more actions after reviewing a CSTR; fewer (40-75%) reported that using the acknowledgment tool was helpful for a specific purpose. Forty-six (64%) were satisfied with the tool. Both satisfied and nonsatisfied PCPs reported that enhancements linking acknowledgment to routine actions would be useful. EHR vendors should consider enhancements to acknowledgment functionality to ensure follow-up of nonurgent CSTRs.

Indexed as

Attitude of Health PersonnelAttitude to ComputersClinical Laboratory TechniquesElectronic Health RecordsHumansPhysicians, Primary Careclinical significant test resultsclosed loop communicationpatient safetytest result acknowledgment

Identifiers

PMID25796594
PMCPMC6283058

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.