Authors (including presenting author) :
Chan ML(1), Kwok ML(1), Poon CY(1), Cheng BW(1), Man HK(1), Chan YF(1), Leung WM(1), Yeung TP(1), Fook SM(1)
Affiliation :
(1) Department of Surgery
Introduction :
There are a lot of investigation reports generated after patient consultation. In the rehabilitation setting, surgeons come to have patients’ assessment twice per week. Investigation reports may be left unattended or attended with inappropriate delay. Delay in report checking may result in inadvertent clinical outcome that should be avoided.
Objectives :
1.To minimize the risk of investigation report left unattended or attended with inappropriate delay.
2.To ensure all clinical reports are reviewed and take care by doctors concerned timely.
3.To develop a service model for investigation report checking.
Methodology :
All investigation requested would be notified to ward in-charge and case nurse, which will be handed over if the reports was not read and signed by case doctor at the end of the shift. The ward in-charge have to check the availability of the investigation reports every shift through the CMS and designated printers.
All printed investigation reports including “SHXR Message” will be collected by ward in-charge. The reports will be divided to two categories which are “requiring instant action” and “routine attention”.
For requiring instant action, the reports will be informed immediately to parent team doctor via SBAR communications for seeking advice. If the patients have been discharged and the report required instant action, case doctor will be informed to take action as appropriate.
For routine attention, the reports will be placed in the designated clip board and reviewed in coming doctors’ round.
Result & Outcome :
From July / 2019 to Dec / 2019, the average time of the interval between report generated and doctors’ attention was 1-2 days in routine attention. 5 reports required further care or attention for the discharged patients in “requiring instant action” category. No incident related to neglecting investigation reports was occurred. All reports were filed with doctors’ signature.
