居民主导的沟通创新:在一个大型内科住院计划中引入WhatsApp社区
Aabid Mohiuddin1, Fawaz Hussain1, Astha Saini-Goeman1
1Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.
通过减少不必要的消息和增强信息共享,WhatsApp社区 (WAC) 显著改善了内科住院计划中的沟通. 这个免费的平台为寻求高效,成本效益的通信工具的程序提供了有价值的解决方案.
科学领域:
- 医疗教育 技术 技术 医学教育
- 医疗保健通信系统 医疗保健通信系统
- 住院计划管理管理 住院计划管理
背景情况:
- 有效的医疗保健沟通至关重要,但采用安全消息应用程序受到成本和临床医生偏好的限制.
- 尽管存在患者健康信息 (PHI) 安全问题,但WhatsApp在医疗保健中被广泛使用.
- WhatsApp社区 (WAC) 为大群体提供结构化的沟通,为居住计划提供了潜在的解决方案.
研究的目的:
- 评估WhatsApp社区 (WAC) 在改善内科住院计划中的沟通和协作方面的有效性.
- 为了评估与传统的单一小组聊天相比,居民对WAC平台的满意度.
- 测量WAC对减少无差别的患者护理通知和不适当共享受保护健康信息 (PHI) 的影响.
主要方法:
- 从一个单一的WhatsApp小组过渡到一个WAC平台,为内部医学住院计划提供多个子组.
- 进行了为期六个月的调查,使用五分利克特级别来评估居民满意度.
- 量化了"无差异的患者护理通知",并实施了首席住院医生 (CMR) 领导的干预,以解决PHI共享问题.
主要成果:
- 报告的高居民满意度:84%是组织,87.5%是及时性,95%是信息传递.
- 92%的居民更喜欢WAC平台,而不是之前的单一小组聊天.
- "未分化的患者护理通知"减少了97% (204至6例);CMR主导的干预显著减少了不适当的PHI共享.
结论:
- WhatsApp社区 (WAC) 在大型内科住院计划中显著增强了沟通和协作.
- WAC提供了一种有效的零成本通信解决方案,特别有利于资源有限的程序.
- 虽然PHI共享仍然是一个问题,但有针对性的导向和CMR调节可以有效地减轻风险.
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