부산대학교 도서관

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1525-1497.2006.00553.x Byline: Sharon Sung (1), Valerie Forman-Hoffman (2,3), Mark C. Wilson (2), Peter Cram (2) Keywords: medical errors; diagnostic errors; result follow-up Abstract: BACKGROUND: Missed test results are common in clinical practice and compromise patient safety. Direct reporting, whereby testing centers systematically notify both patients and providers of important test results, constitutes a potential solution, but provider acceptance is unknown. OBJECTIVE: To assess provider interest in direct reporting of selected test results and how interest varied across different tests. DESIGN, SETTING, AND PARTICIPANTS: Survey of primary care physicians at a tertiary care academic medical center. MEASUREMENT: Five-point Likert scores were used to gauge each physician's interest (1=not at all interested to 5=very interested) in scenarios pertaining to the direct reporting of 3 diagnostic tests of low (DXA scan), intermediate (genital herpes testing), and high (breast biopsy) "emotional impact" and whether interest varied with each test's result (normal vs abnormal). Physicians were also asked to cite specific advantages and disadvantages of direct reporting. RESULTS: The response rate was 73% (148/202). Physician interest in direct reporting decreased progressively as scenarios shifted from low (DXA scan) to high (breast biopsy) emotional impact (P CONCLUSION: Direct reporting of selected test results to patients is one system for insuring that important results are not missed, but implementation should consider the specific test in question, the test result, and provider preferences. Author Affiliation: (1)University of Iowa, Carver College of Medicine, Iowa City, IA, USA (2)Division of General Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA, USA (3)Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP) VA HSR&D Center of Excellence, Iowa City, IA, USA Article History: Manuscript received November 30, 2005Initial editorial decision February 7, 2006Final acceptance May 11, 2006 Article note: Address correspondence and reprint requests to Dr. Cram: Division of General Medicine, 200 Hawkins Drive, 6SE GH, University of Iowa Hospitals and Clinics, Iowa City, IA 52240 (e-mail: peter-cram@uiowa.edu).