PDSA guide

Results handling in general practice

A worked PDSA cycle for closing the loop on unactioned results and correspondence

Author Dr Chris Mitchell AM, FAICD
CPD hours EA + RP + MO. Our worked cycle logged 30 hours (EA 4, RP 23, MO 3)
Timeline Over 5 months. Every practice will differ. Practices with greater data entry requirements may take longer.
Suitable for Any practice managing test results and clinical correspondence
PIP QI eligible Yes, when presented to your local PHN
Publisher Medius Global (mediusglobal.com.au)

This PDSA supports the process of marking patient results and correspondence as 'notified'. Not notifying patients of their results poses a patient safety risk. Not marking results as notified when, in fact, wastes a doctors' time, as they have to close that safety loop to confirm the patient is aware of the result.

What a PDSA gives your practice
Quality of care

Test results and correspondence are often discussed with the patient but not marked as actioned in the record. The clinical decision was made, but the record does not reflect this. The next doctor to see that patient cannot tell whether the result was reviewed, whether it was discussed, or whether anything is still outstanding. Closing the loop, and making that loop visible to the whole team, is the goal of this PDSA.

CPD for the whole team

GPs can meet a large share of their annual 50-hour CPD requirement without leaving the practice. Hours count across educational activities (EA), reviewing performance (RP) and measuring outcomes (MO). Nurses claim through AHPRA. Practice managers count it toward AAPM certification.

Accreditation and PIP QI

A documented PDSA is ready-made evidence of continuous quality improvement against the RACGP Standards for general practices. Presented to your local Primary Health Network, a completed cycle may also qualify as a Practice Incentives Program Quality Improvement (PIP QI) activity.

This PDSA improves the quality of other PDSA cycles

This PDSA stands on its own. It also underpins every recall, reminder and screening PDSA you run, because an unactioned result or correspondence is potentially a reminder that has not been started. If your practice is also working through cervical screening, lung cancer screening, Prolia monitoring or any other recall-driven topic, run this one first or alongside. A clean results workflow is a foundation that the others rely on.

Results handling in general practice

Every practice accumulates results and correspondence that were seen but have yet to be marked as discussed with the patient. Some were actioned in a consultation and simply not marked off as notified. Some were seen by a duty doctor; the patient has since returned, and the loop was never closed. A smaller number were flagged urgent, and the notes do not make clear whether the matter was resolved. These are the most important to address.

Worked example: the scale in one practice

In our practice, we found roughly 60 results flagged as urgent review since 2000 that had not been marked off, around 30 of them in the previous 12 months. Non-urgent reviews have run into the thousands since 2000, many involving doctors who have left the practice. Correspondence marked for discussion or no action added thousands more. None of this was necessarily a sign of poor care. In almost all cases, the result had been dealt with. The record just did not say so.

Key facts

Failure to follow up test results is one of the more common sources of patient-safety incidents and medico-legal complaints in general practice.

Why results handling suits a PDSA

The problem is measurable. Your clinical software can count unactioned results by urgency and by doctor. It is team-based. Clearing a backlog and keeping it clear requires GPs, nurses and receptionists to work to the same rules. And the change is small and repeatable: agree on a clearance protocol, record action results at each visit, and remeasure.

Why a PDSA rather than just instructions?

Telling independent doctors to mark off results doesn't clear a backlog of thousands, and it doesn't change practice in the long term. A PDSA sets a baseline, agrees a protocol, makes the problem visible, measures the reduction over a quarter, and embeds the habit. It also generates the documentation that counts for CPD, accreditation and PIP QI.

CPD hours from this PDSA

Education consisted of practice meetings and reviews of Automed's educational resources (or whichever vendor is used). Reviewing performance consists of logged activities, including time taken during consultations. Measuring outcomes involves downloading and analysing the reports.

Worked example: the hours our cycle logged

These are the hours our practice recorded. Results handling generates far more reviewing-performance time than a typical PDSA because clearing a backlog of this size is part of the review.

CategoryFocusHours
Educational activities (EA)Practice meetings and reviewing the Automed education resources4
Reviewing performance (RP)Logged clearance activities and time taken during consultations23
Measuring outcomes (MO)Downloading and analysing the reports3
Total30
Your hours

Claim the time you spend. Your figures will differ from ours and a smaller backlog will generate fewer reviewing-performance hours.

CategoryFocusHours
Educational activities (EA)
Reviewing performance (RP)
Measuring outcomes (MO)
Total

The RACGP requires 50 CPD hours a year: a minimum of 12.5 hours of educational activities and a minimum of 25 hours across reviewing performance and measuring outcomes, with at least 5 in each. The RACGP classifies PDSAs under measuring outcomes. Submit as a GP-led activity, individually or as a group or practice. ACRRM members and members of other colleges self-report.

How this guide works

Two kinds of boxes appear throughout.

Worked example from our practice
Your practice: fill in your own details
Worked example

Shows how our practice ran this cycle, written from our experience. Use it as a reference, not a script. Your numbers and software will differ.

Your practice

Blank space for your own figures, dates and notes. Fill these in as you go so the completed guide doubles as your CPD and accreditation evidence.

If our worked examples are relevant to your practice, you are welcome to paste into the box.

CM

Dr Chris Mitchell AM, FAICD

Dr Chris Mitchell AM, FAICD is co-founder of Medius Global and a Rural General Practitioner and Rural Generalist with more than 35 years of experience in Northern NSW. He is a Fellow of the Australian Institute of Company Directors and a Past President of the Royal Australian College of General Practitioners. He was previously Head of Adoption, Benefits and Change at the National eHealth Transition Authority (NEHTA). He has served on numerous health sector boards, including the RACGP, NPS MedicineWise, Therapeutic Guidelines Ltd, The Rural Doctors Network and North Coast GP Training. Chris was awarded Member of the Order of Australia (AM) in 2013 for services to general practice.

Important notes

  • Clinical software steps in this guide are drawn from Best Practice and the Automed messaging system, the tools our practice uses. If you run MedicalDirector, Zedmed or another system, the workflow is the same but the menus and shortcuts differ. Adapt the steps to your software.
  • Automated messaging behaviour described here reflects our Automed configuration at the time of writing. Confirm your own settings with your practice manager or vendor.
  • This guide supports quality improvement and CPD. It is not clinical or medico-legal advice. Your practice's clinical governance and results-handling policy govern.

The PDSA cycle

  • Idea: describe the idea you are testing.
  • Plan: what you will do. List the steps involved in the implementation, and what data you will collect.
  • Do: implement the plan and document any unexpected events.
  • Study: record analysis and reflect on what you have learned.
  • Act: how might you apply the cycle again, and what could you do even better.

Activity summary

A brief description of the activity, and the key steps undertaken. Complete this for your own CPD submission.

Your activity summary

What were the key steps undertaken?

Idea

Results and correspondence that are not marked as actioned create a clinical risk. The record does not show whether the loop is closed, so the next doctor cannot tell whether to raise the result or leave it. We test whether a shared clearance protocol, plus actioning results at each visit, reduces the backlog and keeps it down.

Plan

Worked example: our plan

Audit the practice database for unactioned results. Categorise by urgency: urgent review, non-urgent review, and no action. Agree a clearance protocol at a team meeting. Track the time each doctor spends clearing their list. Re-measure monthly and record the reduction over one quarter. Note any patient-safety issue found along the way and act on it immediately. Data to collect: baseline count of unactioned results by category; time spent per doctor on clearance; a monthly count to track the reduction; any safety incident identified during the audit.

Your plan and the data you will collect

Describe what you will do and what you will measure. Consider: how you will run the search in your software, who runs it, what the baseline looks like by category, and how often you will re-measure.

Aims

  • Establish a baseline count of unactioned results and correspondence by urgency.
  • Clear the urgent-review backlog first, contacting any patient where the record does not show the matter was resolved.
  • Reduce the non-urgent and no-action backlog over one quarter.
  • Embed a habit of actioning results at each visit so the backlog does not rebuild.
Your aims

Set specific, measurable targets. For example: clear all urgent reviews from the last 12 months within one month; reduce non-urgent reviews by an agreed percentage over the quarter.

Do: meetings and clearance

Worked example: our schedule

We ran the cycle across the first half of 2026, starting with a planning meeting and holding regular learning-together meetings through to the closing report.

Worked example: how we issued the work

We ran a database search for patients with results not marked as actioned, and the actions arising were discussed at the team meeting on 19 February 2026. As a follow-up, a recall report for each doctor's patients was pulled out of Cubiko and provided to them individually. Each doctor was then asked to give the practice manager a time log of the hours they spent clearing their list. That is what produced the clearance figures below. If you do not run Cubiko, any clinical software report that lists outstanding recalls and results per doctor will do the same job.

ActivityDate
Planning meeting5 January 2026
Learning together meeting22 January 2026
Learning together meeting19 February 2026
Learning together meeting14 May 2026
Learning together meeting16 June 2026
Closing data report25 June 2026
Your dates

Record your own meeting and extraction dates as you go.

Study: what to monitor

Run the database search at baseline and again each month. Record the count in each category so you can see the trend, not just the start and end points.

MeasureBaselineMonth 1Month 2Close
Urgent reviews unactioned
Non-urgent reviews unactioned
Correspondence: no action
Clearance time logged (hours)
Safety issues identified
Worked example: what our numbers showed

Our baseline confirmed the scale described earlier: roughly 60 urgent reviews outstanding since 2000 (about 30 in the previous year) and non-urgent reviews in the thousands. During the term of the PDSA, each GP reviewed results and correspondence. Each doctor logged the time they spent clearing their list from the recall report.

Time logged per doctor, from the recall report (doctors deidentified):

DoctorTime (hours)
Doctor 19
Doctor 28
Doctor 37
Doctor 48
Doctor 53
Doctor 63
Doctor 75
Doctor 85
Doctor 93
Doctor 105
Doctor 117
Doctor 125
Doctor 135
Doctor 143
Total (14 doctors)76
Average5.4
Worked example: the total time this took

In addition to the clearance work above, actioning results and correspondence inside consultations was estimated at one minute per consultation. Over the four months, that is an average of over 18 hours each. Collating both activities, that is over 23 hours in total per GP. The urgent backlog was cleared. The non-urgent and no-action backlog fell sharply once the print-and-mark shortcut was adopted (see below).

Reflection: what did you learn?

Worked example: what worked well

Making sure results and reports are actioned on each visit. The search function for unactioned results and reports is easy to use, but time-consuming. Marking off no actions other than in a consultation is probably just busy work and achieves little, but it does improve the database. Following up urgent and non-urgent reviews is important even outside a consultation. We agreed to address results and correspondence for patients of GPs who have left the practice during consultations. It is possible to tick off multiple investigations, but correspondence is a one-by-one process. We learned a new shortcut for marking off correspondence that has to be actioned one at a time.

Worked example: what could we do even better?

Making sure results, reports and reminders are actioned on each visit.

What did you learn?

What worked, what did not, what surprised you, and what still needs attention.

Reflection: what changes are you going to make to your practice as a result?

Worked example: our answer

Un-notified results and correspondence previously got out of hand in a practice that prides itself on quality processes. It is best to always mark them off at every consultation.

What will you change?

What will you do differently as a result of this cycle?

Act: what to change and embed

Worked example: what we embedded

At every visit, all doctors review the patient's results and correspondence and mark them off as discussed, review the action list, and make sure outstanding items are attended to or the patient is rebooked with their usual GP. The clearing happens while the patient is in attendance, face to face or by telehealth. For older correspondence marked as no action more than a year old, it may be appropriate to do this in bulk rather than one by one.

Changes to embed

What will you standardise across the practice? Consider workflow rules, software shortcuts, who clears departed doctors' lists, and how new results are kept clear.

Handling a result when the patient is not in front of you

Much of the backlog can only be closed properly with the patient present. For the remaining backlog, we use a simple rule. Where a result is clearly urgent, or the notes do not show that an urgent matter was resolved, contact the patient. Where the result does not look important and the patient is not with you, mark it off and add a new action to discuss it at the next visit. That keeps the record honest without generating a phone call for every item. Where you have called or recalled a patient, flag it so the team can see.

Using your clinical software

These steps describe how our practice does this in Best Practice with Automed. The menus differ by software; the workflow does not. Screenshots are deliberately not included: the originals contained patient information. Where a step refers to a screen, the description tells you what to look for.

Finding your unactioned results

  1. From the main screen, open the results and correspondence search (in Best Practice, the search icon on the main toolbar).
  2. Set the date range. You can start as far back as you like; we went back to 2000. Set the finish date to about three months ago for non-urgent reviews and two weeks ago for urgent reviews.
  3. Choose what to review, for example non-urgent review, and enter your own name.
  4. Start with your urgent-review list. Work through it first, then move to non-urgent.

Marking off no-action items in bulk

Clearing no-action items one by one is slow, and most of the backlog sits in correspondence. The quickest safe method: set a date range, choose print, select 'mark as given', then cancel the print job. The items are marked off without printing. Selecting multiple patients with shift-click is no longer available in current versions.

Flagging a patient you have contacted

Where you have called or recalled a patient to action a result, note it by double-clicking the patient's name. A red phone or letter symbol appears to the left of the name so the team can see the patient has been contacted.

A shortcut for correspondence

Investigations can be ticked off several at a time. Correspondence cannot: it has to be actioned one item at a time, which is why most of the backlog sits there. To move through it quickly, use the up and down arrow keys in the Correspondence In tab and press Alt + K, or use the mouse scroll function. It does not fix the underlying problem, but it speeds up clearing a backlog.

Automated patient messaging

If your practice uses automated messaging (we use Automed), reviewing a result or correspondence triggers an SMS to the patient. Understanding this behaviour is part of the educational component of the PDSA. The detail is set out in the background section.

Submitting for CPD hours

Education comes from practice meetings and reviewing your vendor's results and messaging training. Reviewing performance comes from the audit, the logged clearance time and the monthly counts. Measuring outcomes comes from the PDSA cycle itself. Submit via the RACGP CPD portal as a GP-led activity, individually or as a group.

Timing tip

Record time as you go. The RACGP CPD year runs 1 January to 31 December. If the project spans two years, allocate hours to the year the activity was completed.

Doctors involved

List the doctors who took part. Each claims their own hours.

DoctorCollege and CPD number

Resources

  • Institute for Healthcare Improvement, Model for Improvement and PDSA cycles.
  • RACGP, Standards for general practices, continuous quality improvement requirements.
  • Your PHN, for PIP QI submission and data-extraction support.

Messaging and results training from your vendor

Go to your vendor's training. Whatever messaging and results system your practice runs, that vendor's material on results messaging, clinical reminders and recalls is what you want. It is the main source of the educational activity (EA) hours in this PDSA, so log the time your team spends on it and claim it. This is easily the most overlooked EA time in a results PDSA: people do the training and forget to record it.

The modules below are the ones our practice uses. They are specific to Automed and are included as a worked example of what to look for. If you run a different system, find the equivalent from your vendor rather than working from these.

The first module is the one that matters most for this cycle.

The remaining modules cover the wider messaging system and also count toward EA hours where your team reviews them.

Running a PDSA in your practice?

Medius Global produces worked PDSA guides with real practice examples across clinical, preventive and administrative topics. Each includes data-collection templates, CPD claiming guidance and the reference material to run the cycle. See the full set at mediusglobal.com.au.

Background and reference

This section forms part of the educational-activity (EA) hours for the PDSA. It covers why unclosed results are a risk, and how automated patient messaging fits into a results workflow.

Why unclosed loops are a clinical risk

A result that is actioned but not documented looks identical, in the record, to a result that was never discussed. A doctor opening the file later cannot tell the two apart. They either re-raise a matter already resolved, which wastes time and worries the patient, or they assume it was handled and move on. Continuity of care depends on the record showing the decision, not just the doctor remembering it. Marking a result or correspondence as discussed with the patient closes the loop and makes the process visible to the next doctor.

How automated messaging supports results handling

This is a good time to be reminded of the automated processes. Automated messaging turns the act of reviewing a result into patient notification. Automed generates an SMS unless the patient has withdrawn consent. In our practice, it works as follows. Confirm the equivalent behaviour in your own system before relying on it.

  • When a doctor reviews a result or correspondence, an SMS is sent to the patient, unless the patient has withdrawn consent.
  • Only the text typed in the comment field is visible to the patient. The 'result is' field is not sent.
  • Messages go out at 9 am. The system waits for all of a patient's results before sending a single message.
  • No SMS is sent if the result is marked 'being treated' or 'specialist care'.
  • For no action, a message can invite the patient to discuss at their next routine visit. Urgent results are reviewed within 7 days, or the patient is called if more urgent than that. Non-urgent is reviewed within about four weeks.
  • The outgoing SMS is visible in correspondence out. If the patient does not act on a reminder, it goes to the nurse for action. All recall appointment types are identified with a red star. Nurses follow up patients who have opted out or who do not respond.

These settings are not fixed. Automed preferences can be adjusted, but at the practice level, not by an individual user. An individual doctor cannot change the timing rules, the exclusions or what the patient sees. If a setting does not suit the way your practice works, raise it with your practice manager so it can be changed once, for everyone.

Encourage patients to opt in to messaging. It closes more loops automatically and reduces the manual follow-up load on nurses.

The habit that keeps the backlog down

The single change that matters is marking results off during the consultation, even when the result belongs to another doctor. A backlog is cleared once. It stays clear only if every visit closes the loops that surface in it.

Annual CPD requirements

Under the Medical Board of Australia registration standard, medical practitioners complete 50 hours of CPD each year: a minimum of 12.5 hours of educational activities, and a minimum of 25 hours across reviewing performance and measuring outcomes, with at least 5 hours in each. Practitioners also record reflection on their practice. A group PDSA lets a practice meet a large part of this together.

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