Improving Management of Outpatient Actionable Test Results

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

6000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2013-01-31

Brief Summary

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Clinically significant test results require timely clinician follow-up including the non-urgent clinically significant, or actionable, test results that have received less standardized management and attention. Unfortunately, failure to correctly manage actionable test results is not infrequent and may be associated with important delays in diagnosis and treatment and patient harm. The investigators have designed a safe practice intervention to improve the management of actionable test results for ambulatory patients in a large healthcare system.

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Detailed Description

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Conditions

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Management of Actionable Test Results (ATRs)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Actionable Test Results

Creating standardized policies and procedures around actionable test results (ATR) management, and implementing them network-wide:

1. Defining the levels of severity and urgency for clinically significant test results
2. Network-wide policy for test result follow-up by the responsible providers, documentation and escalation processes to assure timely communication.
3. Standardized policies for the time frames and nature of communication of test result alerts.
4. Establish criteria for appropriate ATR management by the responsible provider.
5. Feedback performance including provider, practice and service report cards

Group Type OTHER

Actionable Test Result Management/Standardization

Intervention Type OTHER

The intervention includes enterprise-wide standardization of actionable test result (ATR) definitions with stratification of significant results into alert levels, expected timeframes for clinician responses, a set of policies for ATR follow-up, metrics to measure ATR management and performance feedback.

Interventions

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Actionable Test Result Management/Standardization

The intervention includes enterprise-wide standardization of actionable test result (ATR) definitions with stratification of significant results into alert levels, expected timeframes for clinician responses, a set of policies for ATR follow-up, metrics to measure ATR management and performance feedback.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Primary care physicians will be enrolled in the study by virtue of being an actively practicing clinician in an PHS ambulatory practice, and having at least one patient with a diagnostic test included in the PHS CCSTR intervention. The patient population will consist of adult patients \>17 years of age with diagnostic tests in the affiliated ambulatory practices of PHS. Patients will be recruited into the study by a review of electronic medical record data to identify patients with a diagnostic test specified in the PHS CCSTR intervention.