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Asynchronous automated electronic laboratory result notifications: a systematic review.

Benjamin H Slovis^1,2, Thomas A Nahass³, Hojjat Salmasian^1,4

¹Department of Biomedical Informatics, Columbia University, New York, NY, USA.

Journal of the American Medical Informatics Association : JAMIA

|May 19, 2017

Summary

Automated electronic notifications for lab results have been studied, but most research is over a decade old. More studies are needed to understand their impact on clinician workflow and patient outcomes using modern systems.

Keywords:

alerts automated critical laboratory notifications

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Area of Science:

Medical Informatics
Clinical Laboratory Science
Health Services Research

Background:

Automated electronic notifications for laboratory results aim to improve timely communication between laboratories and clinicians.
Existing systems vary widely in design, implementation, and clinical settings.

Purpose of the Study:

To systematically review the existing literature on asynchronous automated electronic notifications of laboratory results to clinicians.

Main Methods:

A comprehensive literature search was conducted using PubMed, Web of Science, and the Cochrane Collaboration.
Studies were screened through title, abstract, and full-text reviews to identify relevant articles.

Main Results:

The review included 34 articles from 19 institutions, with most focusing on critical result alerts.
Study designs ranged from implementation reports to quasi-experimental studies, randomized controlled trials, and a meta-analysis.
Significant variability was observed in clinical settings, system designs, and reported outcomes.

Conclusions:

Most evaluated asynchronous automated electronic notification systems are over 10 years old.
Further research is necessary to assess the impact of these notifications on clinician workflow and clinical outcomes.
Investigating modern electronic health record integration and novel notification methods is crucial for future advancements.