Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees

J Gen Intern Med. 2019 Jan;34(1):118-124. doi: 10.1007/s11606-018-4656-7. Epub 2018 Oct 8.

Abstract

Background: Missed test results are a cause of medical error. Few studies have explored test result management in the inpatient setting.

Objective: To examine test result management practices of general internal medicine providers in the inpatient setting, examine satisfaction with practices, and quantify self-reported delays in result follow-up.

Design: Cross-sectional survey.

Participants: General internal medicine attending physicians and trainees (residents and medical students) at three Canadian teaching hospitals.

Main measures: Methods used to track test results; satisfaction with these methods; personal encounters with results respondents "wish they had known about sooner."

Key results: We received surveys from 33/51 attendings and 99/108 trainees (response rate 83%). Only 40.9% of respondents kept a record of all tests they order, and 50.0% had a system to ensure ordered tests were completed. Methods for tracking test results included typed team sign-out lists (40.7%), electronic health record (EHR) functionality (e.g., the electronic "inbox") (38.9%), and personal written or typed lists (14.8%). Almost all trainees (97.9%) and attendings (81.2%) reported encountering at least one test result they "wish they had known about sooner" in the past 2 months (p = 0.001). A higher percentage of attendings kept a record of tests pending at hospital discharge compared to trainees (75.0% vs. 35.7%, p < 0.001), used EHR functionality to track tests (71.4% vs. 27.5%, p = 0.004), and reported higher satisfaction with result management (42.4% vs. 12.1% satisfied or very satisfied, p < 0.001).

Conclusions: Canadian physicians report an array of problems managing test results in the inpatient setting. In the context of prior studies from the outpatient setting, our study suggests a need to develop interventions to prevent missed results and avoid potential patient harms.

Keywords: care transitions; electronic health records; hospital medicine.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Attitude of Health Personnel
  • Canada
  • Cross-Sectional Studies
  • Diagnostic Tests, Routine*
  • Education, Medical, Graduate*
  • Hospitals, Teaching*
  • Humans
  • Internal Medicine / education*
  • Internship and Residency / methods
  • Retrospective Studies
  • Self Report
  • Training Support / standards*