Electronic Test Result Access Does Not Reduce Test Ordering

Office-based physician access to computerized images may up image ordering by 40 to 70 percent

TUESDAY, March 6 (HealthDay News) -- For office-based physicians, electronic access to patient imaging and laboratory test results does not decrease -- and may actually increase -- the number of diagnostic tests ordered, according to research published in the March issue of Health Affairs.

Danny McCormick, M.D., of the Harvard Medical School in Boston, and colleagues evaluated 2008 data from the medical records for 28,741 patient visits to 1,187 office-based physicians to determine whether improved access to medical records and laboratory test results reduced the number and associated costs of diagnostic tests ordered.

Rather than reducing the number of imaging tests ordered, the researchers found that physician access to computerized imaging results was sometimes associated with a 40 to 70 percent increased likelihood of an imaging test being ordered. Similarly, additional laboratory tests were also ordered in cases where electronic laboratory results were available. The electronic availability of test results, rather than an electronic health record itself, was found to have an impact on ordering.

"We found no evidence that office-based physicians with electronic access to imaging or blood test results order fewer imaging tests or blood tests, respectively. Indeed, at least for imaging, the reverse may be true: Facilitating physicians' access to test results through computerization may increase diagnostic image ordering," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events