Inbox Messaging: an effective tool for minimizing non-urgent paging related interruptions in hospital medicine provider workflow
| Autor: | Alice Ferguson, Anuradhika Anuradhika, Barry Aaronson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
business.product_category
020205 medical informatics Computer science 02 engineering and technology Computer security computer.software_genre 03 medical and health sciences 0302 clinical medicine Distraction 0202 electrical engineering electronic engineering information engineering medicine 030212 general & internal medicine Workgroup Closed-Loop Communication Service (business) BMJ Quality Improvement Programme General Medicine medicine.disease Hospital medicine Workflow Paging Medical emergency Pager business computer |
| Zdroj: | BMJ Quality Improvement Reports |
| ISSN: | 2050-1315 |
| DOI: | 10.1136/bmjquality.u215856.w7316 |
| Popis: | Communication is one of the foundations on which safe, high quality care is built.1, 3, 6, 17, 20 The nature of hospital medicine requires that nurses and providers be efficient and effective in communicating with multiple disciplines.17 This need for timely communication must continually be balanced with the need to minimize interruptions in workflow.1,2 3,4,6,7,9,13,15,17,18 Interruptions not only lead to distraction, they also add inefficiency to the care process and have been shown to contribute to an increased risk of medical error.2,3,4,7,17,18 A major source of interruptions are pagers that emit an audible tone with each message received.3,9,10,17,18 This interruptive nature makes pagers a less-than-ideal tool for communicating non-urgent (address within one hour) messages received.3,9,10,17,18 In addition to increasing interruptions, pagers do not facilitate closed loop communication, another feature that has been shown to improve safety.14,17,25 Inbox Messaging is intended to provide a less disruptive closed-loop method of communication for non-urgent messages. Inbox Messaging is an interface within the electronic health record (EHR) that functions similarly to e-mail. A multi-disciplinary communication workgroup identified this interface as having potential to not only decrease interruptions, but to also facilitate closed-loop communication. Inbox is currently utilized between the hours of 0700 and 1800 for non-urgent nurse-provider communication about patients on the hospital medicine service. The number of RN non-urgent pages per day was 103 (SD=19, n=97) prior to the Inbox intervention, with a significant decrease (p |
| Databáze: | OpenAIRE |
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