Evaluation of interdepartmental calls generated in 8 tertiary care hospitals of Northern Pakistan

Authors

  • Anum Arif Department of Vascular Surgery, Combined Military Hospital, Lahore, Pakistan
  • Ali Hamza Department of Medicine, Combined Military Hospital, Lahore, Pakistan
  • Ahsin Manzoor Bhatti Department of Vascular Surgery, Combined Military Hospital, Lahore, Pakistan
  • Bismah Riaz Department of Medicine, Combined Military Hospital, Lahore, Pakistan
  • Ammar Zia Department of Medicine, Combined Military Hospital, Lahore, Pakistan
  • Yashfeen Ahmed Department of Medicine, Combined Military Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.47391/JPMA.6425

Keywords:

Communication, Call system, Electronic medical record, Referral system

Abstract

Objective: To assess the quality of medical call writing in multiple tertiary care hospitals based on a variety of parameters.

Method: 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.

Results: 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).

Conclusion: 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.

Key Words: Communication, Call system, Electronic medical record, Referral system.

Author Biographies

Anum Arif, Department of Vascular Surgery, Combined Military Hospital, Lahore, Pakistan

Fellow Vascular surgery, department of vascular surgery, CMH LAHORE

Ali Hamza, Department of Medicine, Combined Military Hospital, Lahore, Pakistan

House officer, department of medicine, CMH LAHORE.

Ahsin Manzoor Bhatti, Department of Vascular Surgery, Combined Military Hospital, Lahore, Pakistan

Classified Vascular Surgeon, HOD, department of vascular surgery, CMH LAHORE.

Bismah Riaz, Department of Medicine, Combined Military Hospital, Lahore, Pakistan

House Officer, department of medicine, CMH LAHORE.

Ammar Zia, Department of Medicine, Combined Military Hospital, Lahore, Pakistan

House Officer, department of medicine, CMH LAHORE.

Yashfeen Ahmed , Department of Medicine, Combined Military Hospital, Lahore, Pakistan

House Officer, department of medicine, CMH LAHORE.

Published

2023-09-13

How to Cite

Arif, A., Hamza, A., Ahsin Manzoor Bhatti, Riaz, B., Zia, A., & Ahmed , Y. (2023). Evaluation of interdepartmental calls generated in 8 tertiary care hospitals of Northern Pakistan. Journal of the Pakistan Medical Association, 73(10), 1969–1972. https://doi.org/10.47391/JPMA.6425

Issue

Section

Research Article