Diagnostics (May 2022)

Critical Test Result Recall Supporting System (CTR RSS) Improves Follow-Up among Patients in the Community

  • Hsu-Tung Chang,
  • Su-Feng Kuo,
  • Shu-Hui Chen,
  • Jen-Shiou Lin,
  • Shu-Hui Lin,
  • Chin-Fu Chang,
  • Chih-Wen Twu,
  • Mei-Chu Chen,
  • Yuan-Ting Yang,
  • Chew-Teng Kor,
  • Ching-Hsiung Lin

DOI
https://doi.org/10.3390/diagnostics12051252
Journal volume & issue
Vol. 12, no. 5
p. 1252

Abstract

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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 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.

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