患者对正常实验室检查结果通知方式的偏好：来自ASIPS协作组的报告
Patient preferences for notification of normal laboratory test results: a report from the ASIPS Collaborative.
作者信息
Baldwin Donna M, Quintela Javán, Duclos Christine, Staton Elizabeth W, Pace Wilson D
机构信息
Kaiser Permanente Medical Group, Aurora, Colorado, USA.
出版信息
BMC Fam Pract. 2005 Mar 8;6(1):11. doi: 10.1186/1471-2296-6-11.
BACKGROUND
Many medical errors occur during the laboratory testing process, including lost test results. Patient inquiry concerning results often represents the final safety net for locating lost results. This qualitative study sought to identify, from a patient perspective, specific preferences and factors that influence the process of communicating normal (negative) laboratory test results to patients.
METHODS
We conducted 30-minute guided interviews with 20 adult patients. Patients were recruited from two practice-based research networks in Colorado that were participating in a medical errors study. A semi-structured interview elicited the participant's experience with and preference for laboratory test result notification. Quantitative descriptive statistics were generated for demographic and preference data. Qualitative results were analyzed by a team of experienced qualitative researchers using multiple styles of qualitative analyses, including a template approach and an editing approach.
RESULTS
Ninety percent of participants wanted to be notified of all tests results. Important issues related to notification included privacy, responsive and interactive feedback, convenience, timeliness, and provision of details. Telephone notification was preferred, followed by regular mail. Electronic notification was perceived as uncomfortable because it was not secure. While 65% preferred being notified by a provider, participants acknowledge that this may be impractical; thus, they wanted to be notified by someone knowledgeable enough to answer questions. Participants do not normally discuss their preferences for test result notification with their providers.
CONCLUSION
Privacy, responsive and interactive feedback, convenience, and timeliness with detailed information may be critical for patient satisfaction and for improving patient safety, and are features that may be incorporated into emerging communication channels.
背景
许多医疗差错发生在实验室检测过程中，包括检测结果丢失。患者对检测结果的询问往往是查找丢失结果的最后一道安全防线。这项定性研究旨在从患者的角度确定影响向患者传达正常（阴性）实验室检测结果过程的具体偏好和因素。
方法
我们对20名成年患者进行了30分钟的引导式访谈。患者从科罗拉多州参与医疗差错研究的两个基于实践的研究网络中招募。半结构化访谈引出了参与者对实验室检测结果通知的经历和偏好。对人口统计学和偏好数据进行了定量描述性统计。定性结果由一组经验丰富的定性研究人员使用多种定性分析方法进行分析，包括模板法和编辑法。
结果
90%的参与者希望收到所有检测结果的通知。与通知相关的重要问题包括隐私、及时且互动的反馈、便利性、及时性以及提供详细信息。电话通知是首选，其次是普通邮件。电子通知被认为不舒服，因为它不安全。虽然65%的人更喜欢由医疗服务提供者通知，但参与者承认这可能不切实际；因此，他们希望由足够了解情况且能回答问题的人通知。参与者通常不会与他们的医疗服务提供者讨论他们对检测结果通知的偏好。
结论
隐私、及时且互动的反馈、便利性以及提供详细信息的及时性对于患者满意度和改善患者安全可能至关重要，并且是可以纳入新兴沟通渠道的特征。
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