Dahm, MR and Georgiou, A and Westbrook, JI and Greenfield, D and Horvath, AR and Wakefield, D and Li, L and Hillman, K and Bolton, P and Brown, A and Jones, G and Herkes, R and Lindeman, R and Legg, M and Makeham, M and Moses, D and Badmus, D and Campbell, C and Hardie, R-A and Li, J and McCaughey, E and Sezgin, G and Thomas, J and Wabe, N, Delivering safe and effective test-result communication, management and follow-up: A mixed-methods study protocol, BMJ Open, 8 Article e020235. ISSN 2044-6055 (2018) [Refereed Article]
Copyright 2018 The Authors Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/
Introduction: The failure to follow-up pathology and medical imaging test results poses patient-safety risks which threaten the effectiveness, quality and safety of patient care. The objective of this project is to: (1) improve the effectiveness and safety of test-result management through the establishment of clear governance processes of communication, responsibility and accountability; (2) harness health information technology (IT) to inform and monitor test-result management; (3) enhance the contribution of consumers to the establishment of safe and effective test-result management systems.
Methods and analysis: This convergent mixed-methods project triangulates three multistage studies at seven adult hospitals and one paediatric hospital in Australia.
Study 1 adopts qualitative research approaches including semistructured interviews, focus groups and ethnographic observations to gain a better understanding of test-result communication and management practices in hospitals, and to identify patient-safety risks which require quality-improvement interventions.
Study 2 analyses linked sets of routinely collected healthcare data to examine critical test-result thresholds and test-result notification processes. A controlled before-and-after study across three emergency departments will measure the impact of interventions (including the use of IT) developed to improve the safety and quality of test-result communication and management processes.
Study 3 adopts a consumer-driven approach, including semistructured interviews, and the convening of consumer-reference groups and community forums. The qualitative data will identify mechanisms to enhance the role of consumers in test-management governance processes, and inform the direction of the research and the interpretation of findings.
|Item Type:||Refereed Article|
|Keywords:||healthcare, safety, quality, patient centered-care|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Health informatics and information systems|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health and support services not elsewhere classified|
|UTAS Author:||Georgiou, A (Associate Professor Andrew Georgiou)|
|UTAS Author:||Greenfield, D (Professor David Greenfield)|
|Web of Science® Times Cited:||17|
|Deposited By:||College Office - CoBE|
|Downloads:||141 View Download Statistics|
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