ArticleBMC medical informatics and decision making2025
Development and evaluation of a whole-chain management system for critical value reporting.
Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundCritical value (CV) management is vital for patient safety and shows the quality of critical care. This study aimed to develop a whole-chain management system (WCMS) for CV reporting and evaluate its impact on clinical practice.
methodsA WCMS for CV reporting, considering sample, process and patient population, was developed. A quasi-experimental study was conducted at Zhoushan Hospital. 591 CVs were divided into two groups: the postapplication group (n = 298) and the preapplication group (n = 293). CV quality-related indicators were compared between the two groups, including the timely reporting rate, timely receiving rate, timely treatment rate, completeness of treatment records and closed-loop rate.
resultsBefore system implementation, the timely treatment rate (93.17%), completeness of treatment records (78.16%), and closed-loop rate (88.05%) were lower than the timely reporting rate (94.54%). After implementation, there were significant differences between the two groups in timely reporting rate (94.54% vs. 97.99%, P < 0.05), timely treatment rate (93.17% vs. 97.65%, P < 0.01), completeness of treatment records (78.16% vs. 94.97%, P < 0.01), and closed-loop rate (88.05% vs. 97.32%, P < 0.01).
conclusionImplementing the WCMS from sample, process and patient population has improved patient safety. The system's successful integration also shows its potential for use in health information systems of various healthcare facilities.
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