消息疯狂:医院中电子安全消息的特征
Jessica Clawson1, Evangeline Grobbel2, Angela Keniston2
1University of Colorado School of Medicine, Aurora, Colorado, USA.
Journal of hospital medicine
|August 7, 2025
概括
医院医生发送许多非紧急,非可采取行动的安全信息 (SM),包括确认和感谢. 减少这些可以减少通信负担和任务切换.
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
- 医院运营 医院运营
背景情况:
- 电子安全消息 (SM) 在医院中普遍存在,增加了任务切换和通信负担.
- 对医院安全信息的分析是必要的,以了解内容并优化实践.
研究的目的:
- 分析医院医生交换的安全信息 (SM) 的内容,紧迫性和可操作性.
- 识别有助于任务切换和认知负载的沟通模式.
主要方法:
- 从工作日和周末的医院安全消息 (SM) 的定性内容分析.
- 根据紧迫性,上下文,可操作性,内容和情绪编码消息.
- 对异常对话和表明通信转移或错误的消息进行主题分析.
主要成果:
- 分析了 2706 条消息 (365 个对话),由医生,高级实践提供者和护士发送.
- 99%的消息是非紧急的,64%是临床的,66%是不可追究的.
- 感谢,感激和社交互动占了近三分之一的信息.
结论:
- 医院安全消息的很大一部分不是紧急的,也不是可以采取行动的.
- 尽量减少像确认和感激之类的低敏度通信,可能会减少任务切换和认知负担.
- 医院应该考虑采取策略来简化安全消息传递实践.
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