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Table 1 Characteristics of included systematic reviews

From: Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives

First author /
Date of most recent search
Review focus Population Setting Number of included studies Intervention of focus Outcome measured Author’s conclusions Quality appraisal
Al Deeb / Jan 2012 Point of Care Ultrasound (POC-US) in diagnosing acute cardiogenic pulmonary edema (ACPE) Patients with undifferentiated ACPE ED and Primary care 7 Bedside ultrasound with B-lines Diagnosis In moderate to high pretest probability for ACPE, B-lines can be used to strengthen an emergency physician’s working diagnosis of ACPE. In low pretest probability for ACPE, a negative ultrasound study can almost exclude the possibility of ACPE. 12/16
Asha / July 2014 Diagnostic accuracy of D-dimer as a rule-out test for acute aortic dissection Patients with suspected acute aortic dissection ED and coronary care unit 5 Bedside d-dimer test Diagnosis Useful for risk stratification, a negative result useful to rule out in low-risk patients but cannot add to certainty of diagnosis. 11/16
Benabbas / Oct 2016 POC-US for diagnosis of acute appendicitis Patients under 21 with abdominal pain ED 21 Bedside ultrasound Diagnosis With appropriate expertise, bedside ultrasound can replace radiology department ultrasound for acute appendicitis but negative result inadequate to rule out. 11/16
Chartier / July 2015 POC-US for diagnosis of long bone fractures Patients with suspected or known bone fracture ED 30 Bedside ultrasound Diagnosis Good test results for diagnosis and reduction of long bone fractures. 10/16
Darragh / Nov 2016 Follow-up of laboratory test results pending at discharge Inpatients or ED attendees who had one or more pending test results Inpatient and ED 9 Improvement of test result follow-up pending at discharge Patient mortality, morbidity, or impact on the process of healthcare delivery Enhanced discharge summary templates, educational interventions for discharging physicians, and email alerts are promising strategies to improve the follow-up of finalised test results upon discharge. 5/13
Fields / May 2015 POC-US for diagnosis of acute appendicitis Patients with suspected acute appendicitis ED, acute care and surgery 21 Bedside ultrasound Diagnosis An appropriate imaging modality for diagnosing appendicitis, but premature to use as a stand-alone test. 12/16
Hasselberg / Jun 2012 Image-based telemedicine for medical expert consultation in acute care of injuries Acute stage of injury/trauma ED 24 Image-based telemedicine Diagnostic validity, management, clinical outcomes, user satisfaction Support for valid diagnosis and positive influence on patient management 7/13
Joshi / 2012 POC-US for diagnosis of extremity fractures Patients with suspected fracture to extremities ED 8 Bedside ultrasound Diagnosis Sufficiently accurate diagnostic test to rule in or out extremity fractures when ultrasound is preferred option but not to replace radiology where appropriate. 7/13
Meyer / Feb 2010 To summarize telepathology implementation challenges Health professionals and caregivers All care settings 0 Email communication of test results to patients Patient understanding and action No conclusions can be drawn due to lack of evidence. 7/7
Rubano / Nov 2011 POC-US for diagnosis of abdominal aortic aneurysm Adult patients with suspected abdominal aortic aneurysm ED 7 Bedside ultrasound Diagnosis Good diagnostic performance. Bedside ultrasound can be used to rule in or rule out the need for emergent CT and/or vascular surgery consultation. 11/16
Vrablik / Aug 2012 POC-US for diagnosis of retinal detachment Patients with acute ocular complaints Acute care 3 Bedside ultrasound Diagnosis Bedside ocular ultrasound has a high degree of accuracy in identifying retinal detachment. 7/16
Whitehead / 2017 Follow-up of laboratory test results pending at discharge Inpatients or ED attendees who had one or more pending test results Inpatient and ED 17 Practices that explicitly aimed to improve the documentation, communication, or follow-up of test results Documentation completeness, physician awareness of pending tests, or follow-up Individual education for preparers of discharge summaries improved the quality of discharge summary documentation of pending test results. There was suggestive evidence that aids, such as checklists and templates, were found to increase the completeness of documentation. Automated email notifications may increase awareness of pending test results. 4/13