Application of Human Factors Methods to Understand Missed Follow-up of Abnormal Test Results.

ABSTRACT:

Objective

This study demonstrates application of human factors methods for understanding causes for lack of timely follow-up of abnormal test results ("missed results") in outpatient settings.

Methods

We identified 30 cases of missed test results by querying electronic health record data, developed a critical decision method (CDM)-based interview guide to understand decision-making processes, and interviewed physicians who ordered these tests. We analyzed transcribed responses using a contextual inquiry (CI)-based methodology to identify contextual factors contributing to missed results. We then developed a CI-based flow model and conducted a fault tree analysis (FTA) to identify hierarchical relationships between factors that delayed action.

Results

The flow model hi

SUBMITTER: Rogith D 

PROVIDER: S-EPMC7577780 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature