Chang Hsu-Tung, Kuo Su-Feng, Chen Shu-Hui, Lin Jen-Shiou, Lin Shu-Hui, Chang Chin-Fu, Twu Chih-Wen, Chen Mei-Chu, Yang Yuan-Ting, Kor Chew-Teng, Lin Ching-Hsiung
Department of Hospital Quality Management, Changhua Christian Hospital, Changhua 500, Taiwan.
Department of Laboratory Medicine, Changhua Christian Hospital, Changhua 500, Taiwan.
Diagnostics (Basel). 2022 May 18;12(5):1252. doi: 10.3390/diagnostics12051252.
Follow-up care of patients in the community is an important topic for improving patient outcomes, especially when medical personnel receives a notification of the critical test result (CTR) when the CTR becomes available after patients have been out of hospital; how to recall the patient back to the hospital and follow-up treatment is essential for preventing the healthcare risk of neglecting or delayed intervention with respect to the patient’s CTR. We are concerned that the follow-up of CTR and timely recall of our patients in the community improves and facilitates patient safety. We built the CTR Recall Supporting System (RSS) to follow up and recall our patients in the community. Measures were introduced to evaluate the effectiveness of CTR RSS; the rate of return of patients within 7 days increased from 58.5% to 88.8%, an increase of 30.3%, the patients in the community’s return follow-up interval days decreased from 10.9 days to 6.2 days, reduced by 4.7 days (p < 0.001), and the mortality rate of the patients in the community within 48 h decreased from 8.0% to 1.9%, a decrease of 6.1%, p < 0.001. The implementation of the CTR RSS significantly increases the discharged patient in he community’s CTR return follow-up within 7 days rate, decreases CTR return follow-up interval days, and reduces the CTR mortality rate within 48 h. This effectively improves the effects of CTR on return follow-up visits and provides a prototype system for hospitals that intend to improve this issue.
社区患者的后续护理是改善患者治疗效果的重要课题,尤其是当医务人员在患者出院后收到关键检测结果(CTR)通知时;如何将患者召回医院并进行后续治疗对于预防因忽视或延迟干预患者的CTR而产生的医疗风险至关重要。我们关注CTR的后续跟进以及在社区及时召回患者,这有助于提高并促进患者安全。我们构建了CTR召回支持系统(RSS)来对社区患者进行跟进和召回。我们引入了一些措施来评估CTR RSS的有效性;7天内患者的返回率从58.5%提高到88.8%,提高了30.3%,社区患者返回随访间隔天数从10.9天降至6.2天,减少了4.7天(p<0.001),社区患者48小时内的死亡率从8.0%降至1.9%,降低了6.1%,p<0.001。CTR RSS的实施显著提高了社区出院患者7天内CTR返回随访率,缩短了CTR返回随访间隔天数,并降低了48小时内CTR死亡率。这有效地改善了CTR对返回随访的影响,并为有意改善此问题的医院提供了一个原型系统。