title: [Use of Digital Health Records and "WebMovil" corporate service in the communication management of critical results of Microbiology, in the context of a primary health care area].
abstract: BACKGROUND
  The objective was to describe and evaluate a new communication protocol of reporting critical results applied to Microbiology in a health area of Andalusia.
  
  
  METHODS
  The size and type of the critical values of Microbiology are analyzed for primary care patients. A new computerized reporting system was analyzed, in real time, through Diraya Digital Health Records, which integrates the analytical test module (MPA). The protocol is complemented, in collaboration with the Information Technology (IT), with the Junta de Andalucía short message service (SMS) "WebMovil".
  
  
  RESULTS
  The total number of notices of critical results by the new protocol in 2012 was 817. The number of critical values for primary care was 570, of which 90 were for Microbiology. The most frequent notice was by isolation in the stool culture (n = 51; 56.67%). The prevalence of the critical values of Microbiology in primary care was 0.45/100. The average time of notifications was 13 minutes. The success rate of notifications was 97.7% and 0% obtained in the number of withdrawals. In 99.93% of cases the contact with the patient was stated and in 98.55% the medical intervention was also confirmed.
  
  
  CONCLUSIONS
  Communication by a computerized system linked to the SMS technology showed a reduction in the time of notification, and produced additional benefits, such as eliminating the risk of error when there is no repetition of information from the recipient received by the laboratory. Furthermore, the use of SMS messages ensures that doctors on duty always receive information immediately.
authors.affiliation: Antonio Fco. Guzmán González, U.G.C. de Laboratorio, Medicina Preventiva y Epidemiología. Hospital Comarcal de la Axarquía. Área de Gestión Sanitaria Este de Málaga, Urbanización el Tomillar, s/n. - 29740 - Vélez-Málaga (Málaga), Spain. antoniofguzman@gmail.com.
authors.forename: A F
authors.initials: AF
authors.lastname: Guzmán-González
authors.forename: F
authors.initials: F
authors.lastname: Navajas-Luque
authors.forename: J
authors.initials: J
authors.lastname: de la Torre-Fernández
mesh_terms: D001424:Bacterial Infections / Q000382:microbiology / Q000628:therapy; D003142:Communication; D006801:Humans; D008499:Medical Records; D016347:Medical Records Systems, Computerized; D008829:Microbiology; D061214:Patient Safety; D011320:Primary Health Care / Q000379:methods*; D013030:Spain