Table 1. Coding of Interventions Implemented by Sitesa .
Primary and secondary drivers | Sites, No. (nā=ā11) |
---|---|
Patient engagement | |
Increase access to test results | 10 |
Educate patients on expectations of the test result and follow-up process | 3 |
Increase patient comprehension of test results | 2 |
Situational awareness | |
Prevent clinician EHR notification fatigue | 6 |
Ensure effective teamwork in the management of test results | 4 |
Create a support structure to facilitate test results review and follow-up | 1 |
Facilitate time for clinicians to review and act on test results | 0 |
Close the loop | |
Ensure clinicians and staff have the necessary contact information for fail-safe communication | 2 |
Monitor for breakdowns in test results review and communication | 5 |
Use standardization and failsafe processes and policies for communicating test results in need of follow-up | 1 |
Use EHR features to support closing the loop on test results | 4 |
Novel drivers | |
Update policies and procedures | 2 |
Education of clinicians (other than notification fatigue) | 1 |
Demonstrated use of quality improvement tools (eg, process mapping) | 2 |
Procedure to more effectively label a result needing follow-up as such | 2 |
Pay for performance for primary care physicians | 1 |
Encourage gastroenterology clinic to discuss transportation, to reduce no-show rate | 1 |
Total | 47 |
Abbreviation: EHR, electronic health record.
A detailed description of all interventions implemented across sites is provided in eTable 2 in Supplement 2.