ISQua's 39th International Conference 2023

BUILD COLLABORATIVE CRITICAL TEST RESULTS(CTRs) RECALLING PLATFORM TO PROMOTE EFFECTIVELY DISCHARGE PATIENTS RETURNING TREATMENT

Hsu-Tung Chang, Ching-Hsiung Lin, Su-Feng Kuo, Shu-Hui Chen Jen-Shiou Lin, Yu-Hsin Hsiao, Chih-Wen Twu

Changhua Christian Hospital, Changhua, Taiwan

Changhua Christian Hospital Scale

•Changhua Christian Hospital (CCH) was founded in 1896.

•Central Taiwan Medical Center, with 1,655 beds

•7 regional branch hospitals.

•Approved by College of American Pathologists (CAP) accreditation.

•1,514,316 outpatient visits, 48,638 discharges, 80,250 emergency visits, in 2022.

Critical Test Report Follow-up Process

•60 CTRs listed based on the risks of clinical operation requirement (e.g., severe hyperglycemia or hypoglycemia (glucose ≧600mg/dL or ≦40mg/dL), hyperkalemia or hypokalemia (K ≧6.2 mmol/L or ≦2.5mmol/L); aortic dissection and pneumothorax as revealed by radiology)

•CTR notifications for 9,336 patients (52.6% inpatients, 5.5% outpatients, and 41.9% emergency visits) 15.6% discharge CTRs

Problem

•Recall rate of discharged patient within 5 days with critical results is 56.5% in 2020

•Physicians are not able to distinguish discharge from critical test report notifications

•Unable to link patient contact information as recalled.

•Lack of comprehensive follow-up information of patients

ISQua's 39th International Conference 2023

BUILD COLLABORATIVE CRITICAL TEST RESULTS RECALLING PLATFORM TO PROMOTE EFFECTIVELY DISCHARGE PATIENTS RETURNING TREATMENT

Poster Presenter

Authors

Affiliations

Part of Topic