Electronic triggers linked to tests that should lead to more workup showed promise in reducing cancer diagnosis delays.
J Clin Oncol. 2015 Aug 24; [Epub ahead of print].
Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial.
Murphy DR, Wu L, Thomas EJ, Forjuoh SN, Meyer AND, Singh H. J Clin Oncol. 2015 Aug 24; [Epub ahead of print].
Trigger tools are algorithms that prompt clinicians to investigate a potential adverse event. These tools are in routine practice for detection of adverse drug events and have been used to identify diagnostic delays. Investigators randomized physicians to either no intervention or to receive triggers related to cancer diagnosis; each trigger was an abnormal diagnostic test result for which follow-up testing is recommended. Delays in acting on abnormal test results are a known cause of adverse events. Sending reminders to physicians based on the trigger process led to higher rates of recommended diagnostic evaluation completion and a shorter time to completion for two of the three studied conditions. These promising results suggest that trigger tools could play a role in improving diagnosis across a range of conditions.
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
Information overload and missed test results in electronic health record–based settings.
Singh H, Spitzmueller C, Petersen NJ, Sawhney MK, Sittig DF. JAMA Intern Med. 2013;173:702-704.
A long-term follow-up evaluation of electronic health record prescribing safety.
Abramson EL, Malhotra S, Osorio SN, et al. J Am Med Inform Assoc. 2013;20:e52-e58.
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Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012.
DesRoches CM, Charles D, Furukawa MF, et al. Health Aff (Millwood). 2013;32:1478-1485.