How a toxicology service expedites remote consults

Communication workflow for poison control center

When a poison exposure case gets escalated to the Tier 2 Medical Toxicology Division at Indiana University Health, team members use Diagnotes’ virtual workspace technology to coordinate life-saving care in real time.

Streamlining clinical communication

In recent years, the Indiana Poison Center has averaged 50,000 poison exposure cases per year. The Medical Toxicology Division at IU Health provides medical backup for the poison center and consults in the care of poisoned patients throughout the state.

When an initial call comes into Indiana Poison Center’s Tier 1 call center, trained nurses and pharmacists triage and manage the exposure. In some cases, that involves remotely consulting the Tier 2 Medical Toxicology Division team. When a consult is needed, the Tier I team uses Diagnotes to message the Tier 2 physician in real time.

“There is no searching for who is on call for that shift,” says Dr. Kris Nañagas, Division Chief of Medical Toxicology. “There is no more being pulled out of an isolation room or a meeting, no more blindly responding to a page/text, no more waiting on the phone so the person who initiated the call can be located, no more angst.”

Virtual patient rooms accelerate care

According to Dr. Nañagas, virtual patient rooms allow the on-call physician to anticipate and prepare—often with the proper treatment recommendations specific to the poison exposure. “Diagnotes provides the information I need at exactly the right time I need it.”

Better communication system-wide

For the Medical Toxicology Service, Diagnotes expedites communication between Indiana Poison Center staff and providers, from poison center providers to hospital providers, from providers to specialists, from providers to patient units, and from providers to pharmacy or lab. Depending upon the case, additional meaningful information is funneled from the Health Information Exchange (HIE) and Electronic Medical Record (EMR) into the virtual patient room. The Toxicologist responding and providing care will frequently follow up with the hospitalist (if the patient has been admitted) and/or other specialists involved in their care. Likewise, communication via Diagnotes back to the Tier 1 team is essential for completeness of EMR documentation.

Dr. Nañagas notes “We no longer have a fragmented system…instead, Diagnotes provides us superior accuracy, efficiency, reliability, and flow of essential information.”

About Diagnotes

Diagnotes is a messaging platform for health systems that goes beyond secure texting. Our mobile platform accelerates clinical communication and gives your care teams the power to collaborate seamlessly in real time. Health systems using Diagnotes optimize their efficiency while increasing clinician and patient satisfaction.


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