在住院儿童医院设置中临床恶化期间安全短信元数据的社交网络分析
Andrew Harold Smith1,2, Brant Tudor3,4, Vishnu Mohan5
1Division of Critical Care Medicine, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA. andrew.h.smith@vumc.org.
Journal of medical systems
|September 19, 2025
概括
前线提供者 (FLP) 在医疗保健团队的沟通网络中具有更大的影响力,特别是在恶化的患者中. 分析这些网络可以改善沟通和患者护理.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 医疗信息学医学信息学
- 网络科学 网络科学
背景情况:
- 有效的医疗团队沟通对于及时识别和干预临床恶化至关重要.
- 安全短信越来越多地用于医疗保健提供者 (HP) 在住院患者环境中的通信.
研究的目的:
- 用安全短信的社交网络分析 (SNA) 来定量描述HP通信网络.
- 在这些网络中调查与患者病情恶化相关的沟通模式.
主要方法:
- 在12个月内,分析了3272个HP之间交换的100多万条安全短信.
- 为个别患者的接触构建了子网络,重点关注临床恶化患者.
- 计算网络特征,包括自身向量中心性,以评估提供者影响.
主要成果:
- 前线提供者 (FLP),包括先进实践提供者和家庭工作人员,表现出明显更高的特异向量中心性,表明对信息传播的影响更大.
- 与没有恶化的患者相比,FLP在照顾恶化的患者的子网络内表现出更大的网络影响力.
- 尽管网络规模和参与者数量相似,但观察到这种更大的影响力.
结论:
- SNA从数量上描述了住院HP通信网络,强调了FLP在信息流中的中心作用.
- 了解这些沟通动态,特别是对于病情恶化的患者,为改善沟通和减轻临床风险提供了目标.
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