ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

Magnesium: Widespread Deficiency with Deadly Consequences

Gut Bacteria, Artificial Sweeteners and Glucose Intolerance

Reverse Mitochondrial Damage

Strengthening DNA to Prevent Inflammation, Heart Disease, Dementia and More

Culprits of Autism Identified: Toxins, Gut Bacteria, Nutritional Deficiencies, and Vaccines Made wit...

CoQ10: The Longevity Factor

Turmeric compound boosts regeneration of brain stem cells

Use of Broad-Spectrum Antibiotics Before Age 2 Associated with Obesity Risk

Extending Life and Fighting Disease with Resveratrol

Is Homocysteine Making You Sick?

 
Print Page
Email Article

One in 14 Abnormal Medical Test Results is Not Communicated to Patients - National Sampling Study

  [ 17 votes ]   [ Discuss This Article ]
www.ProHealth.com • June 22, 2009


Does your doctor’s office tell you to call if you haven’t been notified of test results within a certain number of days? If not, making that call on your own could be well worthwhile.

New research shows that physicians failed to report clinically significant abnormal test results to patients - or to document that they had informed them - in one out of every 14 cases of abnormal results. In some medical groups, the failure rate is close to zero; in others it is as high as one in four abnormal results.

The analysis of 5,434 patient records from 23 physician practices across the country was led by Dr. Lawrence P. Casalino, chief of the Division of Outcomes and Effectiveness Research in the Department of Public Health of Weill Cornell Medical College, and published online June 22 in the Archives of Internal Medicine.(1)

Dr. Casalino and his co-investigators revealed that groups using simple processes to manage test results had lower failure rates. Groups that did not consistently use these processes had both higher failure rates and physicians who were dissatisfied with their group's processes for managing test results.

Simple Processes Reduce Errors
The study also found that having an electronic medical record did not reduce failure-to-inform rates - and even increased them - if the practice did not have good processes in place for managing test results.

"Failure to report abnormal test results can lead to serious, even lethal consequences for the patient," says Dr. Casalino. "The good news is that physicians who use a simple set of systematic processes to deal with test results can greatly lessen their error rates."

The study suggests that five simple, common-sense processes are useful for dealing with test results:

1. All test results are routed to the responsible physician;

2. The physician signs off on all results;

3. The practice informs patients of all results, normal and abnormal, at least in general terms;

4. The practice documents that the patient has been informed; and

5. Patients are told to call after a certain time interval if they have not been notified.

Practices Often Loosely Defined, Inconsistent
"We found that very few physician practices had explicit rules for managing test results," says Dr. Casalino, who is also associate professor of public health at Weill Cornell Medical College. "In many practices, each physician devised his or her own method. And in many cases, physicians and their staff told patients that 'no news is good news' - meaning they should assume that their tests are normal unless they are contacted. This is a dangerous assumption."

"With the recent enactment of federal stimulus legislation to support greater adoption of health information technology, this study demonstrates why health IT hardware alone will not improve care," says Dr. Mark Smith, president & CEO of the California HealthCare Foundation, which funded the research. "Ensuring that processes are in place to efficiently notify patients of their lab results should be part of the meaningful use of electronic health records."

"Dr. Casalino's research provides concrete and immediately useful steps that can and should be put into place to improve the delivery of medical care," says Dr. Alvin I. Mushlin, Professor and Chairman of the Department of Public Health at Weill Cornell Medical College. "With good processes, we can ensure that patients with abnormal lab results get proper follow-up."
___
1. To read the full text of this article free, see “Frequency of Failure to Inform Patients of Clinically Significant Outpatient Test Results” by Casalino LP, et al. Archives of Internal Medicine, Jun 22, 2009.

Source: Archives of Internal Medicine, news release Jun 22, 2009



Please Discuss This Article:   Post a Comment 



[ Be the first to comment on this article ]




 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Vitamins and Supplements

Featured Products

Vitamin D3 Extreme™ by ProHealth Vitamin D3 Extreme™ by ProHealth
50,000 IU Vitamin D3 - Prescription Strength
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid

Natural Remedies

The Revolutionary 'Good Fat' That Promotes Heart, Brain, Bone and Joint Health The Revolutionary 'Good Fat' That Promotes Heart, Brain, Bone and Joint Health
Sleep Like a Baby in Nature's Cradle Sleep Like a Baby in Nature's Cradle
Three-Step Strategy to Reverse Mitochondrial Aging Three-Step Strategy to Reverse Mitochondrial Aging
A Breakthrough for Mitochondrial Dysfunction A Breakthrough for Mitochondrial Dysfunction
Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia 101
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS 101
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE
CONTACT US
PRIVACY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing