Department of Vascular Surgery, Combined Military Hospital, Lahore, Pakistan.
Department of Medicine, Combined Military Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2023 Oct;73(10):1969-1972. doi: 10.47391/JPMA.6425.
To assess the quality of medical call writing in multiple tertiary care hospitals based on a variety of parameters.
The cross-sectional study was conducted in 8 tertiary care hospitals across Pakistan from May 27 to June 27, 2021, and comprised residents and consultants aged 25-60 years regardless of gender and specialty. Data was collected using questionnaires related to demographic and professional characteristics, quality of calls received, quality of calls sent, and opinion regarding improvements to the existing system. Data ws analysed using SPSS 22.
Of the105 participants, 65(62%) were residents and 40(38%) were consultants. General surgery team received referrals most frequently 26(24.7%). History of the patient along with relevant examination findings were mentioned in 4(3%) and 6(5%), respectively (p=0.6 vs p=0.5). The timeline was mentioned by 10(9.5%), (p=0.09), and it was inconsistent with the clinical relevancy in 13(12.3%) cases (p=0.5). The working diagnosis for which the patient was admitted in a particular service was mentioned in 35(33.3%) of the generated calls (p=0.01).
The call referral system deserved more attention in order to improve communication among the physicians. Analysis of the quality of referral letters should be part of initial and continuing medical education.
基于多种参数评估多家三级保健医院的医疗电话记录质量。
本横断面研究于 2021 年 5 月 27 日至 6 月 27 日在巴基斯坦 8 家三级保健医院进行，纳入年龄在 25-60 岁之间的住院医师和顾问，无论性别和专业如何。使用与人口统计学和专业特征、收到的电话质量、发送的电话质量以及对现有系统改进的意见相关的问卷收集数据。使用 SPSS 22 进行数据分析。
在 105 名参与者中，65 名（62%）为住院医师，40 名（38%）为顾问。普通外科团队收到的转诊请求最多，为 26 次（24.7%）。4 名（3%）和 6 名（5%）患者的病史和相关检查结果分别被提及（p=0.6 对比 p=0.5）。10 名（9.5%）提到了时间线（p=0.09），13 名（12.3%）病例的时间线与临床相关性不一致（p=0.5）。在生成的电话中，有 35 个（33.3%）提到了患者入院特定服务的工作诊断（p=0.01）。
为了改善医生之间的沟通，电话转诊系统需要更多关注。转诊信质量分析应成为初始和继续医学教育的一部分。
