How context affects electronic health record-based test result follow-up: a mixed-methods evaluation.

ABSTRACT:

Objectives

Electronic health record (EHR)-based alerts can facilitate transmission of test results to healthcare providers, helping ensure timely and appropriate follow-up. However, failure to follow-up on abnormal test results (missed test results) persists in EHR-enabled healthcare settings. We aimed to identify contextual factors associated with facility-level variation in missed test results within the Veterans Affairs (VA) health system.

Design, setting and participants

Based on a previous survey, we categorised VA facilities according to primary care providers' (PCPs') perceptions of low (n=20) versus high (n=20) risk of missed test results. We interviewed facility representatives to collect data on several contextual factors derived from a sociotechnical conceptual mo

SUBMITTER: Menon S 

PROVIDER: S-EPMC4244393 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature