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Article Abstract
Background: The Joint Commission lists improving staff communication (handoffs) as part of several National Safety Goals. In this study, we developed an electronic web-based charting system for clinical pathology handoffs, which primarily consist of transfusion medicine calls, and evaluated the advantages over a paper-based handwritten call log.
Materials And Methods: A secure online web browser application using Research Electronic Data Capture (REDCap) was designed to document on-call pathology resident consults. A year after implementation, an online survey was administered to our pathology residents in order to evaluate and compare the usability of the electronic application (e-consults) to the previous handwritten call log, which was a notebook where trainees hand wrote different components of the consult.
Results: The REDCap web-based application includes discrete fields for patients' information, requesting physician contact, type of consult, action items for follow-up and faculty responses, as well as other information. These components have eventually progressed to be an online consult call catalog. With approximately 1079 consults per year, transfusion medicine-related calls account for ~90% of the encounters, while clinical chemistry, microbiology and immunology calls constitute the remainder. The overall response rate of the survey was 96% (29 of 30 participants). Of the 16 respondents who experienced both call log systems, 100% responded that REDCap was an improvement over the handwritten call log (P < 0·0001).
Conclusion: E-consult documentation entered into a web-based application was a user-friendly, secure clinical information access and effective handoff system as compared to a paper-based handwritten call log.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670603 | PMC |
| http://dx.doi.org/10.1111/vox.12913 | DOI Listing |
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Article Synopsis
- Researchers wanted to improve how doctors share important patient information during shift changes by creating a digital system instead of using paper notebooks.
- They made an online application called REDCap to help doctors record and check calls related to patient care, especially about blood transfusions.
- After one year, a survey showed that all doctors who used both systems preferred REDCap, saying it was much better and easier to use than the old handwritten logs.