Skip to content

Women's Health

Patients Not Always Told of Lab Results

Researchers Say Doctors Need to Do a Better Job of Informing Patients of Lab Test Results
Font Size
A
A
A
By
WebMD Health News
Reviewed by Louise Chang, MD

June 22, 2009 -- Primary care clinicians and their staffs sometimes fail to inform all patients of the results of lab or screening tests --  or fail to keep records that patients were informed and thus have no proof, says a study in the June 22 issue of the Archives of Internal Medicine. That poses potential dangers to consumer health and possible legal troubles for doctors, researchers say.

"There is a disconnect in many offices, and this is alarming," Lawrence P. Casalino, MD, PhD, of Weill Cornell Medical College, tells WebMD. "Some patients aren't being told about the results of tests, and this shouldn't happen. The takeaway message for consumers is clear -- if you don't hear within two weeks, call your doctor's office."

Failure to Inform Patients of Lab Test Results Is Common

Casalino, lead author of the study, and colleagues reviewed the medical records of 5,434 randomly selected patients between the ages of 50 and 69 in 23 primary care practices.

They identified 1,889 abnormal test results and 135 apparent failures to inform the patient or to document that the patient was informed. That’s a rate of 7.1%, or about one out of every 14 abnormal tests.

Practices that used a combination of paper and electronic records had the highest failure rates, the researchers say.

No News Isn't Always Good News

"Most [practices] did not have explicit rules for notifying patients of results, the researchers write. "To our knowledge, this is the first study to estimate the failure-to-inform rate across a variety of tests and types of medical practice." Casalino tells WebMD that "patients should never assume that no news is good news" because "a lot of things can go wrong in the office. Some may never receive a report from the lab, or it may come in but the doctor never sees it and it might get filed away before he does."

He tells WebMD that many primary care doctors' offices are swamped with paperwork, making it easy for test reports to go to the wrong place, or the right place and not be seen, and that often procedures are not in place to make sure doctors see and act on lab results.

"Doctors should at the least mail out a form and keep a copy in the charts," he says. "In our research team, it turned out that almost everybody had a personal experience with a missed communication."

Today on WebMD

hands on abdomen
Test your knowledge.
womans hand on abdomen
Are you ready for baby?
 
birth control pills
Learn about your options.
insomnia
Is it menopause or something else?
 
woman in bathtub
Slideshow
Doctor discussing screening with patient
VIDEO
 
bp app on smartwatch and phone
Slideshow
iud
Expert views
 

Send yourself a link to download the app.

Loading ...

Please wait...

This feature is temporarily unavailable. Please try again later.

Thanks!

Now check your email account on your mobile phone to download your new app.

Blood pressure check
Slideshow
hot water bottle on stomach
Quiz
 
question
Assessment
Attractive young woman standing in front of mirror
Quiz