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Back to the 11 October 2026 edition

Pearl · 05 of 06

A pended order beats a good intention

Make the next step, its date and its owner explicit before the visit ends.

Many preventive and follow-up tasks fail because the order is not in place when the patient is in front of you or when the date arrives. A system that pends the next order for the clinician to sign, and prompts the patient to book, removes two steps from the chain.

When following a patient after an abnormal result, a negative screen or a discharge, put the next test, its date and who is responsible in the plan before the visit ends. A date written down, with a named owner, is more likely to happen than advice given verbally.

  • Before the patient leaves, record the next screening or follow-up test and its date.
  • Name who is responsible for booking it.
  • Use recall lists or registries where your clinic has them.
  • Ask patients which reminder method (call, message, letter) they will respond to.

Why it matters

Follow-through often fails at the order and the booking, not at the decision.

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