Timely communication of test results

September 9, 2025

When and how results are shared may vary depending on the type of clinical test, where it is performed, and the practice’s established procedures. However, once test results are available, patients expect to be informed in a timely manner, whether it’s from their treating provider or the laboratory or facility that conducted the tests. 

Test result communication policy

No one wants a missed or delayed reporting of a test result – regardless of the outcome.

To ensure test results are communicated appropriately, we encourage providers to implement policies and procedures that confirm the:

  • Patient (or designee) knows when to reasonably expect the results of clinical tests and how they will receive them.
  • Patient confidentiality is protected, regardless of how the results are given.
  • Patient understands what to do if test results aren’t received within the expected time frame.
  • Test results are shared in a sensitive, understandable manner that includes all information needed to make informed decisions about future treatment.
  • Ordering provider is notified and has access to results prior to patient notification if the patient will receive results directly from a third party.

Key definitions to include in a test result communication policy

You may want to consider adding the following key definitions at the beginning of your test result communication policy to help standardize understanding of these terms across many users.1

TermDescription
Critical test resultAny result or finding that may be considered life threatening or that could result in severe morbidity and require urgent or emergency clinical attention.
Significantly abnormal test resultNonemergency, non-life-threatening results that need attention and follow-up action as soon as possible, but for which timing is not as crucial as critical test results. These results generate a mandatory notification in the electronic health record but are not required to be reported verbally.
Critical testsTests that require rapid communication of results, whether normal, abnormal, or critical.
Read-backThe process of an individual receiving a critical test result or significantly abnormal test result by writing down and reading back the information to the individual providing this information.
Diagnostic areasPathology and laboratory medicine, imaging, cardiology, and other diagnostic areas as defined by the organization.

 

Additional information

For more helpful recommendations to develop or amend a test result communication policy, check out Eight Recommendations for Policies for Communicating Abnormal Test Results.   

1 Eight Recommendations for Policies for Communicating Abnormal Test Results.

 

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