Psychiatrists' access to electronic laboratory results

M. Skelton, S. Thacker, A. Forbes-Haley, Mahendra Kumar, E. Holliday
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Abstract

Aims and method A completed audit cycle, consisting of email surveys of all psychiatrists and a review of acute trust information technology registers was undertaken in Derbyshire Healthcare NHS Foundation Trust, to assess whether psychiatrists could access electronic laboratory results from the neighbouring acute trust laboratory. This was replicated in Nottinghamshire Healthcare NHS Trust, with an initial audit; plans were then implemented to increase access. Results In Derbyshire, 14% of psychiatrists could access electronic results initially, with limited ward access. By re-audit, all wards had access, and 28% used those systems. The later initial audit in Nottinghamshire Healthcare Trust revealed 6% access. Clinical implications Benefits of electronic results include clinical (faster decisions, safer monitoring, prompt detection of acute problems); efficiency savings (less wasted time telephoning); and other (improved relationships with general practitioners and laboratories, reduced marginalisation of patients with mental illness and professionals). There may be considerable clinical and efficiency savings for trusts.
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精神科医生获得电子实验室结果的权利
目的和方法在德比郡医疗保健NHS基金会信托基金进行了一个完整的审计周期,包括对所有精神科医生的电子邮件调查和对急性信托信息技术登记册的审查,以评估精神科医生是否可以从邻近的急性信托实验室获取电子实验室结果。这在诺丁汉郡医疗保健NHS信托基金中得到了复制,并进行了初步审计;然后实施了增加访问的计划。结果在德比郡,14%的精神科医生最初可以访问电子结果,病房访问受限。通过重新审核,所有病房都有访问权限,28%的病房使用了这些系统。后来对诺丁汉郡医疗信托基金的初步审计显示,有6%的人访问了该基金。电子结果的好处包括临床(更快的决策,更安全的监测,及时发现急性问题);节省效率(减少浪费在打电话上的时间);以及其他(改善与全科医生和实验室的关系,减少精神疾病患者和专业人士的边缘化)。这可能会为信托机构节省相当多的临床费用和效率。
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