Promotion of intra-hospital referral of hepatitis B and C virus carriers to hepatology specialists by electronic medical record-based alert system: a case study at a university hospital

  • Uchida-Kobayashi Sawako
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Enomoto Masaru
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Fujii Hideki
    Department of Gastroenterology, Osaka City Juso Hospital
  • Iida-Ueno Ayako
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Motoyama Hiroyuki
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kozuka Ritsuzo
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Hagihara Atsushi
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kawamura Etsushi
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Morikawa Hiroyasu
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Murakami Yoshiki
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Tamori Akihiro
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kawada Norifumi
    Department of Hepatology, Graduate School of Medicine, Osaka City University

Bibliographic Information

Other Title
  • 当院における肝炎ウイルス検査の実施状況と陽性者に対する受診勧奨システム構築による院内連携の変化について
  • トウ イン ニ オケル カンエンウイルス ケンサ ノ ジッシ ジョウキョウ ト ヨウセイシャ ニ タイスル ジュシン カンショウ システム コウチク ニ ヨル インナイ レンケイ ノ ヘンカ ニ ツイテ

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Abstract

It remains unclear whether intra-hospital collaboration regarding hepatitis B and C virus carriers identified by infection screening testing occurs appropriately in non-hepatology departments. Our hospital developed an alert system in April 2013 to promote referral of hepatitis B surface antigen (HBsAg)-positive or anti-heptitic C virus (HCV)-positive patients to the Department of Hepatology through electronic medical records. Since the introduction of the new system, the number of intra-hospital referrals regarding hepatitis virus infections increased from 18.8±5.7 to 29.0±4.5 per month. A steady stream of referrals originated from departments in which there were more patients who tested positive for the hepatitis virus. This alert system is useful for promoting the intra-hospital referral of hepatitis virus carriers who are detected by screening tests to hepatology specialists and is thus considered to be important in the appropriate management of chronic viral hepatitis.

Journal

  • Kanzo

    Kanzo 57 (1), 7-16, 2016

    The Japan Society of Hepatology

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