Medical errors arising from outsourcing laboratory and radiology services.
OBJECTIVE
Document errors and the nuisance factor inherent in the informational exchange that occurs with the outsourcing of laboratory and radiology examinations.


METHODS
Three infectious diseases physicians at a tertiary care hospital recorded problems involving data transmitted by telephone or fax from outsource providers for 4 months. This included in- and outpatients, and those in transition from one status to another.


RESULTS
Outsourcing laboratory and radiology examinations of insured outpatients is a common practice. Insurance companies determine which healthcare facility performs these tests based on contractual agreements with outsource providers. This leads to confusion and frustration for the doctor and patient alike, and occasionally, to medical error.


CONCLUSIONS
The exchange of patient data involved in outsourcing is subject to systemic errors that do not allow of easy solution.
Chasin
Brian S
BS
Section of Infectious Diseases, Department of Medicine, University of Arizona, Tucson, AZ 85724, USA.
Elliott
Sean P
SP
Klotz
Stephen A
SA
D001130:Arizona; D019411:Clinical Laboratory Techniques / Q000191:economics*; D003047:Coccidioidomycosis / Q000175:diagnosis; D003951:Diagnostic Errors / Q000191:economics / Q000706:statistics & numerical data; D034742:Electronic Mail; D005260:Female; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D007223:Infant; D008172:Lung Diseases, Fungal / Q000175:diagnosis; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D020416:Outsourced Services / Q000191:economics / Q000706:statistics & numerical data; D011008:Pneumococcal Infections / Q000175:diagnosis; D011859:Radiography / Q000191:economics*; D016636:Telefacsimile; D014481:United States