Christopher L. Roy, MD; Eric G. Poon, MD, MPH; Andrew S. Karson, MD, MPH; Zahra Ladak-Merchant, BDS, MPH; Robin E. Johnson, BA; Saverio M. Maviglia, MD, MSc; Tejal K. Gandhi, MD, MPH
Acknowledgments: The authors thank Mr. Justin Golden and Mr. Martin Spera.
Grant Support: By a grant from the Harvard Risk Management Foundation, Cambridge, Massachusetts.
Potential Conflicts of Interest: None disclosed.
Requests for Single Reprints: Christopher L. Roy, MD, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. Roy and Maviglia: Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115.
Drs. Poon and Gandhi, Ms. Ladak-Merchant, and Ms. Johnson: Brigham and Women's Hospital, 1620 Tremont Street, Boston, MA 02120.
Dr. Karson: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114.
Roy CL, Poon EG, Karson AS, Ladak-Merchant Z, Johnson RE, Maviglia SM, et al. Patient Safety Concerns Arising from Test Results That Return after Hospital Discharge. Ann Intern Med. 2005;143:121-128. doi: 10.7326/0003-4819-143-2-200507190-00011
Download citation file:
Published: Ann Intern Med. 2005;143(2):121-128.
Poor communication between inpatient and outpatient providers precedes many preventable adverse events that occur shortly after discharge.
Forty-one percent of 2644 patients on the hospitalist services of 2 academic hospitals had pending laboratory or radiology results at discharge. Physician-reviewers deemed approximately 9% of these results potentially actionable. Physician surveys done 14 days after results were first available showed that physicians were unaware of many results and thought that about 13% of them required urgent action.
Findings may not apply to nonacademic or nonhospitalist settings.
We need good integrated systems to assure follow-up of tests that are pending at discharge.
Learn more about subscription options.
Register Now for a free account.
Hospital Medicine, Prevention/Screening.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only