{"id":"https://openalex.org/W150348271","doi":null,"title":"The management of test results in primary care: does an electronic medical record make a difference?","display_name":"The management of test results in primary care: does an electronic medical record make a difference?","publication_year":2010,"publication_date":"2010-05-01","ids":{"openalex":"https://openalex.org/W150348271","mag":"150348271","pmid":"https://pubmed.ncbi.nlm.nih.gov/20455108"},"language":"en","primary_location":{"id":"pmid:20455108","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20455108","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family medicine","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://works.bepress.com/john_flach/117","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001699854","display_name":"Nancy C. Elder","orcid":"https://orcid.org/0000-0003-4530-5505","observed_orcids":["https://orcid.org/0000-0003-4530-5505"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nancy C Elder","raw_affiliation_strings":["Department of Family Medicine, University of Cincinnati, Cincinnati, OH 45267-0582, USA. eldernc@fammed.uc.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, University of Cincinnati, Cincinnati, OH 45267-0582, USA. eldernc@fammed.uc.edu","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026218757","display_name":"Timothy R. McEwen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy R McEwen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091037083","display_name":"John M. Flach","orcid":"https://orcid.org/0000-0002-4589-8198","observed_orcids":["https://orcid.org/0000-0002-4589-8198"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John Flach","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000102195","display_name":"Jennie J. Gallimore","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennie Gallimore","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5068315521","display_name":"Harini Pallerla","orcid":"https://orcid.org/0000-0002-2539-905X","observed_orcids":["https://orcid.org/0000-0002-2539-905X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Harini Pallerla","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.5333,"has_fulltext":false,"cited_by_count":38,"citation_normalized_percentile":{"value":0.93962922,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"42","issue":"5","first_page":"327","last_page":"33"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.9509999752044678},{"id":"https://openalex.org/keywords/test-result-management","display_name":"test result management","score":0.8140000104904175},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7689999938011169},{"id":"https://openalex.org/keywords/laboratory-findings","display_name":"laboratory findings","score":0.7129999995231628},{"id":"https://openalex.org/keywords/patient-notification","display_name":"patient notification","score":0.9599999785423279},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.5720000267028809},{"id":"https://openalex.org/keywords/paper-medical-records","display_name":"paper medical records","score":0.7080000042915344}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.750652551651001},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.7342185378074646},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.7227039933204651},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.6853130459785461},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6371381878852844},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.6245136260986328},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.5008606910705566},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4966443181037903},{"id":"https://openalex.org/C3018060332","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic medical record","level":2,"score":0.45682692527770996},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.442003458738327},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33893561363220215},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.18977230787277222},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1617819368839264},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.1147356927394867},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.10036739706993103},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.09174609184265137},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003955","descriptor_name":"Diagnostic Tests, Routine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008485","descriptor_name":"Medical Audit","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009820","descriptor_name":"Ohio","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":4,"locations":[{"id":"pmid:20455108","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20455108","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family medicine","raw_type":"Journal Article"},{"id":"pmh:oai:corescholar.libraries.wright.edu:psychology-1287","doi":null,"is_oa":false,"landing_page_url":"https://corescholar.libraries.wright.edu/psychology/287","pdf_url":null,"source":{"id":"https://openalex.org/S4306400146","display_name":"CORE Scholar (Wright State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I19648265","host_organization_name":"Wright State University","host_organization_lineage":["https://openalex.org/I19648265"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Psychology Faculty Publications","raw_type":"text"},{"id":"pmh:oai:works.bepress.com:john_flach-1116","doi":null,"is_oa":true,"landing_page_url":"https://works.bepress.com/john_flach/117","pdf_url":null,"source":{"id":"https://openalex.org/S2737205702","display_name":"Journal of Bioresource Management","issn_l":"2309-3854","issn":["2309-3854"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","erih-plus"],"host_organization":"https://openalex.org/P4310316536","host_organization_name":"Bioresource Research Center (BRC), Islamabad","host_organization_lineage":["https://openalex.org/P4310316536"],"host_organization_lineage_names":["Bioresource Research Center (BRC), Islamabad"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"John M. Flach","raw_type":"text"},{"id":"mag:150348271","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20455108","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:works.bepress.com:john_flach-1116","doi":null,"is_oa":true,"landing_page_url":"https://works.bepress.com/john_flach/117","pdf_url":null,"source":{"id":"https://openalex.org/S2737205702","display_name":"Journal of Bioresource Management","issn_l":"2309-3854","issn":["2309-3854"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","erih-plus"],"host_organization":"https://openalex.org/P4310316536","host_organization_name":"Bioresource Research Center (BRC), Islamabad","host_organization_lineage":["https://openalex.org/P4310316536"],"host_organization_lineage_names":["Bioresource Research Center (BRC), Islamabad"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"John M. Flach","raw_type":"text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8999999761581421}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W30878089","https://openalex.org/W121591146","https://openalex.org/W1728843927","https://openalex.org/W1791635106","https://openalex.org/W1977075849","https://openalex.org/W1992002432","https://openalex.org/W2005445643","https://openalex.org/W2035325547","https://openalex.org/W2045149120","https://openalex.org/W2059255179","https://openalex.org/W2059528954","https://openalex.org/W2075390271","https://openalex.org/W2078418273","https://openalex.org/W2100259100","https://openalex.org/W2127579435","https://openalex.org/W2145665426","https://openalex.org/W2148850520","https://openalex.org/W2153649661","https://openalex.org/W2155535411","https://openalex.org/W2163767758","https://openalex.org/W2167775373","https://openalex.org/W2187382233","https://openalex.org/W2408677407","https://openalex.org/W2618745205"],"related_works":["https://openalex.org/W2135868994","https://openalex.org/W3045622869","https://openalex.org/W2145665426","https://openalex.org/W2026425243","https://openalex.org/W125667916","https://openalex.org/W7096900938","https://openalex.org/W2464764989","https://openalex.org/W2753374221","https://openalex.org/W2057345833","https://openalex.org/W7100542182"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"OBJECTIVES:":[2],"It":[3],"is":[4],"unknown":[5],"whether":[6],"an":[7,136,182,260],"electronic":[8],"medical":[9],"record":[10],"(EMR)":[11],"improves":[12],"the":[13,76,106,142,146,170,235,245],"management":[14,47,87,92,203,240],"of":[15,25,78,123,172,178,193,210,222,238,244,256,276],"test":[16,65,100,223,278],"results":[17,46,66,91,101,125,174,179,202,224,239,257],"in":[18,40,51,71,94,141,145,234,267,271],"primary":[19],"care":[20],"offices.":[21,108],"METHODS:":[22],"As":[23],"part":[24],"a":[26,118,185],"larger":[27],"assessment":[28],"using":[29],"observations,":[30],"interviews,":[31],"and":[32,57,63,84,162,270,274],"chart":[33,147],"audits":[34],"at":[35,105],"eight":[36,107],"family":[37],"medicine":[38],"offices":[39,215,248,264],"SW":[41],"Ohio,":[42],"we":[43],"documented":[44,188],"five":[45],"steps":[48,88,204],"(right":[49],"place":[50,144],"chart,":[52],"signature,":[53],"interpretation,":[54],"patient":[55,69,163],"notification,":[56],"abnormal":[58,173,228,277],"result":[59],"follow-up)":[60],"for":[61,219,227],"laboratory":[62],"imaging":[64],"from":[67,102],"25":[68],"charts":[70,104],"each":[72],"office.":[73],"We":[74,97],"noted":[75],"type":[77],"records":[79],"used":[80],"(EMR":[81],"or":[82,199,225],"paper)":[83],"how":[85],"many":[86],"had":[89,151,184,216,249],"standardized":[90,201,217],"processes":[93,218],"place.":[95],"RESULTS:":[96],"analyzed":[98],"461":[99],"200":[103],"Commonly":[109],"grouped":[110],"tests":[111],"(complete":[112],"blood":[113],"counts,":[114],"etc)":[115],"were":[116,126,138],"considered":[117],"single":[119],"test.":[120],"A":[121],"total":[122],"274":[124],"managed":[127,134,180,195,258],"by":[128,259],"EMR":[129,137,183],"(at":[130],"four":[131],"offices).":[132],"Results":[133],"with":[135,181],"more":[139,152,200],"often":[140],"right":[143],"(100%":[148,155],"versus":[149,156,160],"98%),":[150],"clinician":[153],"signatures":[154],"86%),":[157],"interpretations":[158],"(73%":[159],"64%),":[161],"notifications":[164],"(80%":[165],"vs.":[166],"66%)":[167],"documented.":[168],"For":[169],"subset":[171],"(n=170":[175],"results),":[176],"64%":[177],"follow-up":[186,226,275],"plan":[187],"compared":[189],"to":[190],"only":[191],"40%":[192],"paper":[194],"results.":[196,229,279],"Having":[197],"two":[198],"did":[205],"not":[206],"significantly":[207],"improve":[208],"documentation":[209,237,255],"any":[211],"step,":[212],"but":[213,242,262],"no":[214],"documenting":[220,272],"interpretation":[221,273],"There":[230,252],"was":[231,253],"inter-office":[232],"variability":[233],"successful":[236],"steps,":[241],"75%":[243],"top":[246],"performing":[247],"EMRs.":[250],"CONCLUSIONS:":[251],"greater":[254],"EMR,":[261],"all":[263],"fall":[265],"short":[266],"notifying":[268],"patients":[269]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":6}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}
