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Title of study: Documentation and follow up of lab and x-ray results |
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Study Timeframe: Data collection will include all send out lab orders and x-rays ordered in October 2004. |
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Problem Statement: This study will be conducted to verify that lab and x-ray results are filed within time limits as defined in policy (within 2 working days of receipt) and to verify that providers are providing follow up on test results according to policy (within 7 days of receipt). |
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Problem Measurement: (frequency, severity and/or source) All charts that have send out lab or x-ray orders on them during Oct. 2004 will be reviewed by the medical record clerk using the attached checklist. |
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Findings/Results: 171 send out labs and 2 x-rays sent out in Oct. Average time for results=2.95 days 3 (.02%)=8 days From received to filing= 17 (10%) greater than 2 days, 16=Chlamydia, 1=Chem Panel Notified within 7 days of filing= 170 or (99%), 1 pertussis was 8 days
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Measures taken to resolve problem: (flowsheet, staff education, policy/process change) Policy needs to be changed to reflect that lab work done with other labs (paps & chlamydias etc.) will await filing in the chart until the final lab result gets received. |
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Recommendations for re-study: None |
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Problem Improvement/Change: Policy Change only |
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Date reviewed and approved by Quality Committee: Nov. 16, 2004, Dec. 9, 2004 |
Adm.
QI Study Form, Created 7-11-03