Authors (including presenting author) :
Sun KF (1), Siu HN(3), Chan MM (2), Tang PH(1), Yip WS(3), Poon KM(2)
Affiliation :
(1)Accident and Emergency Department, Pok Oi Hospital, (2)Accident and Emergency Department, Tin Shui Wai Hospital (3)Accident and Emergency Department, Tuen Mun Hospital
Keyword 2: :
iron replacement
Keyword 3: :
iron deficiency anemia
Introduction :
Intravenous iron replacement therapy for adult patients with menorrhagia related iron deficiency anemia(IDA) has been started in the Accident and Emergency Department (A&E) of New Territories West Cluster (NTWC) since June 2020, as part of the Patient Blood Management (PBM) project. Its electronic workflow has been successfully implemented in three A&E in NTWC since August 2024 after staff training and drill exercise. PBM workflow of IV iron therapy, including pre-IV iron infusion assessment, vitals monitoring, observation for any adverse reaction during infusion and post-infusion follow up, were incorporated into the electronic AED (eAED) system. Templates of the workflow have been created in the Progress Note function in the Clinical Management System (CMS) according to the patients' journey. Manual form with patient gum label has been substituted. This enhanced the continuation of patient care and patient privacy. Survey on the electronic workflow had been carried out to the medical and nursing staff in three A&E in NTWC, one year after the implementation of the electronic workflow.
Objectives :
The electronic workflow for intravenous iron replacement therapy for adult patients with menorrhagia related iron deficiency anemia is implemented to improve the patients' care by enhancing the documentation and communication of staff, and reducing the risk of leaking out of patients' confidential data by eliminating use of patient gum label. The survey on the electronic workflow aims to obtain the feedback from the medical and nursing staff in our department and provides direction for further improvement in the workflow.
Methodology :
Survey on the electronic workflow had been carried out to all of the medical and nursing staff in the Accident and Emergency Department of Tuen Mun Hospital, Pok Oi Hospital and Tin Shui Wai hospital from 24th September 2025 to 24th November 2025, in the format of electronic Google form. The survey was distributed to all medical and nursing staff in the Accident and Emergency Department of New Territories West Cluster via internal webmail and WhatsApp groups. In total 16 questions, enquiring on the demographics of the responders, aspects of patient care enhancement, documentation and communication, progress note template, promotion and training , were included in the survey.
Result & Outcome :
From 24th September 2025 to 24th November 2025, there was 55 replies in total, with 32 Nurses(58.2%) and 23 Doctors(41.8%).The response rate was 14.8% in Accident and Emergency Department of New Territories West Cluster. 65% agreed or strongly agreed the electronic workflow could enhance the patient care. Over 75% agreed or strongly agreed the risk of losing patients’ confidential information could be reduced by the electronic workflow. Over 75% agreed or strongly agreed documentation was more clear and efficient in the electronic workflow than in manual charting. 76% agreed or strongly agreed the electronic workflow could enhance staff communication during patient management. 60% agreed or strongly agreed the template in the “Progress notes” function for the electronic workflow was easy to read and user-friendly, while over 70% agreed or strongly agreed the template was well categorized. Over 70% agreed or strongly agreed the promotion and training in the use of the electronic workflow was adequate in our department. Over 70% agreed or strongly agreed it was easy to learn the electronic workflow for managing menorrhagia patients requiring IV iron infusion in A&E.
