Table 7 Multivariable analysis: harm versus no harm (312 event reports are included in this analysis)
CharacteristicOdds ratio 95% CI (lower to upper)p Value
Clinician type
    Staff1.00 (1.00 to 1.00)0.246
    Clinician1.45 (0.82 to 2.56)
Race
    White, not Hispanic1.00 (1.00 to 1.00)0.066
    All others2.27 (1.09 to 4.73)
Error type*
    Test ordering1.00 (1.00 to 1.00)<0.001
    Administration0.65 (0.21 to 2.00)
    Test implementation5.32(2.22 to 12.76)
    Reporting results to the clinician0.89 (0.34 to 2.27)
    Clinician responding to the results0.66 (0.15 to 2.85)
    Notifying the patient of results3.55 (1.19 to 10.63)
    Other errors*3.37 (1.23 to 9.20)
Quality of office system for follow-up of abnormal test results
    Low quality†1.00 (1.00 to 1.00)0.872
    High quality‡0.92 (0.34 to 2.50)
  • *Other errors category combined communication errors with process errors.

  • †Less than 95% of patients are directly notified of significant abnormal lab results, and the practice does not have a specific system to ensure testing follow-up.

  • ‡More than 95% of patients are directly notified of significant abnormal lab results, and the practice does have a specific system to ensure testing follow-up.