Electronic health record (EHR)-based alerts are often used to notify practitioners of abnormal test results, but follow-up failures (missed results) continue to occur in outpatient settings. In the Department of Veterans Affairs (VA), abnormal test result alerts are generated automatically for prespecified abnormal laboratory values or manually by the interpreting radiologist when an unexpected finding is noted. Factors such as workflow, user behaviors, and organizational characteristics likely affect EHR-based test result follow-up. Thus, we examined the “sociotechnical” predictors of missed test results in the setting of EHR-based alerts.
Singh, Hardeep; Spitzmueller, Christiane; Petersen, Nancy J.; Sawhney, Mona K.; Sittig, Dean F., JAMA Internal Medicine, Online first, DOI: 10.1001/2013.jamainternmed.61