ArticleJournal of general internal medicine2017
Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism.
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01710293 (Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis), which is not on this map. Cited by 6 papers.
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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.
Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis
Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
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- Development and Validation of an Electronic Trigger to Monitor Follow-up for Moderately Elevated, Outpatient Serum Potassium Levels.Journal of general internal medicine · 2022Article
- Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Application of electronic trigger tools to identify targets for improving diagnostic safety.BMJ quality & safety · 2019Article
- Using Electronic Record Data to Encourage Better Care: Where We Are and Where We Could Be.Journal of general internal medicine · 2017Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDelays in following up abnormal test results are a common problem in outpatient settings. Surveillance systems that use trigger tools to identify delayed follow-up can help reduce missed opportunities in care.
objectiveTo develop and test an electronic health record (EHR)-based trigger algorithm to identify instances of delayed follow-up of abnormal thyroid-stimulating hormone (TSH) results in patients being treated for hypothyroidism.
designWe developed an algorithm using structured EHR data to identify patients with hypothyroidism who had delayed follow-up (>60 days) after an abnormal TSH. We then retrospectively applied the algorithm to a large EHR data warehouse within the Department of Veterans Affairs (VA), on patient records from two large VA networks for the period from January 1, 2011, to December 31, 2011. Identified records were reviewed to confirm the presence of delays in follow-up. KEY
resultsDuring the study period, 645,555 patients were seen in the outpatient setting within the two networks. Of 293,554 patients with at least one TSH test result, the trigger identified 1250 patients on treatment for hypothyroidism with elevated TSH. Of these patients, 271 were flagged as potentially having delayed follow-up of their test result. Chart reviews confirmed delays in 163 of the 271 flagged patients (PPV = 60.1%).
conclusionsAn automated trigger algorithm applied to records in a large EHR data warehouse identified patients with hypothyroidism with potential delays in thyroid function test results follow-up. Future prospective application of the TSH trigger algorithm can be used by clinical teams as a surveillance and quality improvement technique to monitor and improve follow-up.
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