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Do worklists work? A quantitative approach to the assessment of an Electronic Patient Record function
1Akershus University Hospital, Norway. petter@hurlen.no
Studies in Health Technology and Informatics
|August 10, 2012
Summary
An Electronic Patient Record worklist function reduced overlooked radiology reports but did not eliminate them. The system
Area of Science:
- Health Informatics
- Radiology Workflow Optimization
Background:
- Overlooked radiology reports pose a significant risk to patient safety and clinical decision-making.
- Electronic Patient Record (EPR) systems offer potential solutions for managing report dissemination.
Purpose of the Study:
- To quantitatively assess the effectiveness of a new EPR worklist function designed to prevent overlooked radiology reports.
- To identify reasons for the function's limitations in clinical practice.
Main Methods:
- A quantitative study was conducted to evaluate the EPR worklist function.
- The study assessed the rate of overlooked reports before and after implementation.
- User interaction and workflow integration were observed.
Main Results:
- The EPR worklist function reduced the rate of overlooked radiology reports.
- The function did not completely eliminate overlooked reports, as not all were identified.
- Clinicians did not utilize the worklists for new report detection.
- The system's non-compliance with clinical workflows, not user error or training, was identified as a key limitation.
Conclusions:
- While the EPR worklist function showed some success, it did not fully resolve the issue of overlooked reports.
- System design must align with established clinical workflows for effective implementation.
- Quantitative methods are valuable additions to traditional qualitative approaches for evaluating health informatics tools.
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