Table 3.
Types of Documented Actions Recorded in EHR for Actionable TPADs
| Documented actions, n = 538 | Intervention n = 312 |
Usual care n = 224 |
Adjusted OR* [95% CI] |
p value |
|---|---|---|---|---|
| Establish, change, or confirm a diagnosis, n = 127 | 76 (24.4%) | 51 (23.1%) | 0.60 [0.19, 1.89] | p = 0.39 |
| Communicate with the patient, n = 122 | 71 (22.8%) | 51 (23.1%) | 0.50 [0.21, 1.23] | p = 0.13 |
| Initiate, discontinue, alter, or confirm treatment, n = 76 | 42 (13.5%) | 34 (15.4%) | 0.61 [0.27, 1.39] | p = 0.24 |
| Communicate with a providera, n = 72 | 44 (14.1%) | 28 (12.7%) | 0.96 [0.52, 1.76] | p = 0.89 |
| Recommend, order, cancel, or confirm a test, study, or procedure, n = 69 | 37 (11.9%) | 32 (14.5%) | 0.61 [0.24, 1.58] | p = 0.31 |
| Referral (non-urgent and urgent), n = 50 | 31 (9.9%) | 19 (8.6%) | 0.97 [0.39, 2.44] | p = 0.95 |
| Other, n = 20 | 11 (3.5%) | 9 (4.1%) | 1.04 [0.46, 2.38] | p = 0.92 |
*Adjusted for clinical service; test type (pathology vs. other); physician type (hospitalist), years employed (≤ 5 yrs); patient Elixhauser score (≤ 5), median LOS (≥ 4 days). Clustered by attending
aInpatient attending initiating communication with ambulatory provider (PCP, specialist, etc.) or PCP initiating communication with an inpatient provider (attending, specialist, etc.)