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Reducing Interdisciplinary Communication Failures Through Secure Text Messaging: A Quality Improvement Project.

Jesse E Hansen1, Margot Lazow1, Philip A Hagedorn1

  • 1Pediatric Residency Program, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Division of Hospital Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Department of Information Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Pediatric Quality & Safety
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PubMed
Summary
This summary is machine-generated.

Implementing secure text messaging for providers significantly reduced communication failures by 59% on a pediatric ward. This quality improvement initiative enhanced interdisciplinary communication, decreasing potential medical errors.

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Area of Science:

  • Healthcare communication
  • Quality improvement in medicine
  • Medical informatics

Background:

  • Interdisciplinary communication failures are a key cause of medical errors.
  • Traditional unidirectional pager systems limited effective provider communication.
  • A quality improvement project was initiated to address these communication gaps.

Purpose of the Study:

  • To implement a secure text messaging system for providers on a pediatric ward.
  • To evaluate the impact of this system on communication failures.
  • To achieve a >25% reduction in potential communication failures within one month.

Main Methods:

  • Secure text messaging was implemented using Plan-Do-Study-Act cycles.
  • Interventions included education, feedback, and EHR integration.
  • Communication failures were tracked by analyzing pager and secure text messaging data for closed-loop communication.

Main Results:

  • The median daily potential communication failure rate decreased from 5.5% to 2.2%, a 59% reduction.
  • Secure text messaging became a primary communication method, averaging 3.5 messages per patient-day.
  • Traditional paging decreased from 4.2 to 3.7 communications per patient-day.

Conclusions:

  • Secure text messaging implementation, guided by quality improvement principles, significantly reduced communication failures between residents and nurses.
  • The study highlights the effectiveness of secure messaging in improving pediatric ward communication.
  • Sustained use of secure text messaging is recommended to maintain low communication failure rates.