1. Indicate your healthcare system. |
106 |
2. In the previous two weeks how many clinic sessions have your practiced? |
106 |
3. How many patients do you see in an "average" session? |
105 |
4. Yesterday, or in your previous clinic session, how many patients were directed to you with the intent that you would inform the patient of the results of a diagnostic study that was ordered by a specialty service? |
104 |
5. In the previous 2 weeks, how many patients have you seen with an "abnormal diagnostic result" that was probably missed by the ordering service and not acted upon? (limit to result either >1 month old or of such a critical nature that a 1 month delay would have been inappropriate) |
105 |
6. Please indicate the type of diagnostic results that had been "missed". Check all that apply: |
106 |
7. In the previous 2 weeks, how many patients did you see who may have had a delay in either diagnosis or treatment due to a "missed diagnostic result" that was overlooked by the ordering service? |
106 |
8. What diagnoses or treatments may have been delayed due to a "missed diagnostic"? Select all that apply: |
106 |
How is your practice generally affected when you are asked to provide results to a patient for diagnostics ordered by a different clinical service? Response choices: 5 point Likert scale anchored with 1= strongly agree 5= strongly disagree |
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9. The time lost as a result of investigating the test is very burdensome to my practice. |
106 |
10. Generally I do not know the significance of the diagnostic test (that I am being asked to provide) in the other services treatment plans for the patient. |
106 |
11. Do you have a method to monitor if patients received scheduled follow ups for abnormal test results? |
106 |
12. How do you assure that all test results you order are reviewed? Select the answer that best describes your practice: |
106 |
Please indicate how helpful you believe each of these potential interventions would be to VA patients to decrease the risk of needless patient harm due to "missed results": Response options were a 4 point Likert scale anchored by 1= probably very helpful and 4= definitely more disruptive than helpful |
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13. Establishing the expectation for patients that all test results will be reported to them. |
106 |
14. Providing copies of all diagnostic test results directly to patients. |
106 |
15. Providing, to the ordering service, summary monthly reports of abnormal labs specific to a diagnosis group (e.g. patients with CAD and LDL>110 or CXR with possible mass). |
106 |
16. Periodic summary reports of patients with abnormal test results that have not received the anticipated clinical response (e.g. abnormal mammograms or elevated PSA). |
104 |
17. Establishment of a consistent process or procedure for the "hand off" of diagnostic test results when a provider is absent or leaves the service. |
106 |
18. The establishment of a consistent SOP for results management and reporting by each clinical service. |
102 |
19. A convenient process for providers to generate results letters to patients. |
106 |
20. A secure voice messaging system to patients for results reporting and instructions from providers. |
101 |
21. A convenient electronic verification when a provider views the diagnostic test result. |
103 |