Slovis Benjamin H, Nahass Thomas A, Salmasian Hojjat, Kuperman Gilad, Vawdrey David K
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Am Med Inform Assoc. 2017 Nov 1;24(6):1173-1183. doi: 10.1093/jamia/ocx047.
To systematically review the literature pertaining to asynchronous automated electronic notifications of laboratory results to clinicians.
PubMed, Web of Science, and the Cochrane Collaboration were queried for studies pertaining to automated electronic notifications of laboratory results. A title review was performed on the primary results, with a further abstract review and full review to produce the final set of included articles.
The full review included 34 articles, representing 19 institutions. Of these, 19 reported implementation and design of systems, 11 reported quasi-experimental studies, 3 reported a randomized controlled trial, and 1 was a meta-analysis. Twenty-seven articles included alerts of critical results, while 5 focused on urgent notifications and 2 on elective notifications. There was considerable variability in clinical setting, system implementation, and results presented.
Several asynchronous automated electronic notification systems for laboratory results have been evaluated, most from >10 years ago. Further research on the effect of notifications on clinicians as well as the use of modern electronic health records and new methods of notification is warranted to determine their effects on workflow and clinical outcomes.
系统回顾与向临床医生异步自动发送实验室检查结果电子通知相关的文献。
检索PubMed、科学网和考科蓝协作网，查找与自动发送实验室检查结果电子通知相关的研究。对主要结果进行标题审查，并进一步进行摘要审查和全文审查，以确定最终纳入的文章集。
全文审查纳入了34篇文章，代表19个机构。其中，19篇报告了系统的实施和设计，11篇报告了准实验研究，3篇报告了随机对照试验，1篇是荟萃分析。27篇文章包括危急结果警报，5篇关注紧急通知，2篇关注择期通知。临床环境、系统实施和呈现的结果存在很大差异。
已经对几种用于实验室检查结果的异步自动电子通知系统进行了评估，大多数评估是在10多年前进行的。有必要进一步研究通知对临床医生的影响以及现代电子健康记录的使用和新的通知方法，以确定它们对工作流程和临床结果的影响。
