Electronic charting of transfusion medicine consults: implementation, challenges and opportunities

Mohammad K. Mohammad, Melanie S. Wooten, Cheryl L. Maier, Charles E. Hill, Jeannette Guarner, John D. Roback, Anne M. Winkler, Harold C. Sullivan

Research output: Contribution to journalArticlepeer-review


Background: The Joint Commission lists improving staff communication (handoffs) as part of several National Safety Goals. In this study, we developed an electronic web-based charting system for clinical pathology handoffs, which primarily consist of transfusion medicine calls, and evaluated the advantages over a paper-based handwritten call log. Materials and Methods: A secure online web browser application using Research Electronic Data Capture (REDCap) was designed to document on-call pathology resident consults. A year after implementation, an online survey was administered to our pathology residents in order to evaluate and compare the usability of the electronic application (e-consults) to the previous handwritten call log, which was a notebook where trainees hand wrote different components of the consult. Results: The REDCap web-based application includes discrete fields for patients’ information, requesting physician contact, type of consult, action items for follow-up and faculty responses, as well as other information. These components have eventually progressed to be an online consult call catalog. With approximately 1079 consults per year, transfusion medicine-related calls account for ~90% of the encounters, while clinical chemistry, microbiology and immunology calls constitute the remainder. The overall response rate of the survey was 96% (29 of 30 participants). Of the 16 respondents who experienced both call log systems, 100% responded that REDCap was an improvement over the handwritten call log (P < 0·0001). Conclusion: E-consult documentation entered into a web-based application was a user-friendly, secure clinical information access and effective handoff system as compared to a paper-based handwritten call log.

Original languageEnglish (US)
Pages (from-to)443-450
Number of pages8
JournalVox Sanguinis
Issue number5
StatePublished - Jul 1 2020
Externally publishedYes


  • documentation
  • e-charting
  • e-consults
  • record
  • transfusion medicine

ASJC Scopus subject areas

  • Hematology


Dive into the research topics of 'Electronic charting of transfusion medicine consults: implementation, challenges and opportunities'. Together they form a unique fingerprint.

Cite this