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Improving Critical Value Notification through Secure Text Messaging
Terrance James Lynn1, Jordan Erik Olson1
1Geisinger Medical Center, Laboratory Medicine, Danville, PA, USA.
Journal of Pathology Informatics
|October 12, 2020
Summary
Secure text messaging (STM) for critical value (CV) notifications significantly reduced laboratory turnaround times (TAT) compared to traditional paging. Providers found STM more efficient and effective, enabling faster patient care.
Area of Science:
- Clinical Informatics
- Laboratory Medicine
- Healthcare Communication
Background:
- Traditional critical value (CV) notification relied on pager systems, causing delays in patient care.
- A new system using secure text messaging (STM) was implemented to expedite CV communication.
- The goal was to improve communication speed between clinical providers and the laboratory.
Purpose of the Study:
- To evaluate the impact of secure text messaging (STM) on critical value (CV) notification turnaround times (TAT).
- To assess provider satisfaction and perceived effectiveness of STM for CV delivery.
- To determine if STM improves the speed and quality of patient care.
Main Methods:
- Implemented a secure texting application for direct delivery of laboratory critical values (CV) to provider smart devices.
- Compared pre-implementation (paging) and post-implementation (STM) turnaround times (TAT).
- Surveyed providers on the efficiency, effectiveness, and impact on patient care of the new STM system.
Main Results:
- Mean TAT decreased from 11.3 minutes to 3.03 minutes post-STM implementation (p < 0.001).
- 85% of responding providers reported increased efficiency, and 95% found STM more effective than pagers.
- 83% of providers felt they could deliver better, faster patient care using STM.
Conclusions:
- Secure text messaging (STM) significantly reduces critical value (CV) turnaround times (TAT).
- Providers prefer STM for CV notifications due to its effectiveness and efficiency.
- The implementation of STM facilitates improved and accelerated patient care.
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