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Pilot study of linking Web-based supplemental interpretive information to laboratory test reports
Brian H Shirts1, Adi V Gundlapalli, Brian Jackson
1Dept of Pathology, University of Utah Health Sciences Center, 15 N Medical Dr, Ste 1100, Salt Lake City, UT 84112, USA.
American Journal of Clinical Pathology
|November 21, 2009
Summary
Clinicians access linked reference material in electronic medical records, demonstrating value. Long-term maintenance of these web links is crucial, even after removal from reports.
Area of Science:
- Clinical Informatics
- Laboratory Medicine
Background:
- Electronic medical records (EMRs) can integrate reference material for immediate clinical access.
- Linking laboratory test results to online resources can enhance value and reduce text volume.
Purpose of the Study:
- To evaluate clinician access frequency and duration to web-based universal resource locator (URL) links provided with laboratory test results.
- To assess the long-term utility and maintenance implications of web links in clinical decision support.
Main Methods:
- Web-based URL links were provided for 7 ARUP Laboratories tests.
- Link usage was tracked over time, including after URL modifications and removal from reports.
Main Results:
- Monthly website hit rates varied from 0.00% to 3.00% (median, 0.12%).
- Rare and specialty tests showed higher access rates.
- Significant access continued for 9 months even after URLs were removed from reports.
Conclusions:
- Clinicians actively access linked reference material, confirming their utility.
- The sustained use of web links post-publication highlights the need for robust long-term maintenance strategies and resource allocation.
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