学术医院医师对安全消息传递的好处和挑战的看法:混合方法分析
Michelle Knees1, Angela Keniston1, Amy Yu1
1Department of Medicine, Division of Hospital Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Journal of hospital medicine
|October 3, 2024
概括
学术医院医生发现安全消息传递 (SM) 有效但要求很高,导致多任务和浅层沟通. 需要明确的机构指导方针来优化SM的使用,并减轻对临床医生的工作流程和患者护理的负面影响.
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
- 临床工作流的优化 临床工作流优化
背景情况:
- 有效的临床医生沟通对于医院和患者来说至关重要.
- 异步电子安全消息 (SM) 是医院医生的主要通信工具.
- 有限的研究存在于医院医生采用,好处,和挑战与SM.
研究的目的:
- 评估学术医院医师对安全消息传递 (SM) 的看法.
- 为SM系统的未来研究和质量改进计划提供信息.
主要方法:
- 混合方法研究结合了REDCap调查和虚拟半结构焦点组.
- 使用快速定性方法来确定关键主题.
- 数据来自24个学术机构的28名医院医生和1名患者代表.
主要成果:
- 安全消息 (SM) 的采用是广泛的,但不一致的.
- 缺乏明确的机构指导,以实现最佳的中小企业参与.
- 微博增加了沟通的便利性,但减少了深度,增加了认知负载,并改变了人际关系的动态.
- 多任务和中断是与SM使用相关的重大挑战.
结论:
- 安全消息传递 (SM) 对临床医生和患者都有好处和缺点.
- 了解医院医生的观点对于提高SM有效性至关重要.
- 建议包括与前线人员合作制定明确的使用准则.
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