短信是关心:医院医生对临床短信的内容分析
Claire Elyse Donnelly1, Perla L Flores2,3, Michael Weiner2,3
1Health Services Research, Regenstrief Institute Inc, Indianapolis, Indiana, USA willicle@regenstrief.org.
BMJ open quality
|August 28, 2023
概括
临床短信系统 (CTS) 主要促进患者护理管理和更新. 虽然个人信息很少见,但在CTS中对近乎失误的分析可以改善团队合作和护理质量.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 医疗信息学 医疗信息学
背景情况:
- 医院越来越多地采用临床短信系统 (CTS) 来进行团队沟通.
- 了解CTS在临床环境中的实际应用至关重要.
研究的目的:
- 在临床短信系统中分析消息的内容,过程和目的.
- 评估个人使用的程度,并讨论CTS中近乎失误的错误.
主要方法:
- 在9个月的时间里,从医院医生那里随机选择的809条消息线程进行了内容分析.
- 按重点 (临床管理,行政,个人) 和功能 (通知,请求) 分类消息的分类.
- 检查近距离失误的错误及其相关的风险水平.
主要成果:
- 大多数信息 (62%) 集中在临床患者管理上.
- 大多数消息都是通知/更新 (64%) 或请求 (63%).
- 个人内容不常见 (10%),近乎失败的讨论发生在5%的线程中,大多是低风险的.
结论:
- 临床短信系统主要用于直接的临床管理和护理协调.
- 需要对CTS中的错误沟通和护理后果进行进一步的研究,以了解其对质量和团队工作的影响.
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