在儿童医院使用安全消息的特征
Austin DeChalus1,2,3, Brooke Luo1,2,3,4, Amina Khan4
1Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.
Hospital pediatrics
|December 14, 2025
概括
前线医生和高级实践提供者 (APP) 在儿童医院经历了最高的安全消息负担. 安全消息的响应时间几乎是立即的,但需要对健康和患者安全进行进一步的研究.
科学领域:
- 临床信息学 临床信息学
- 医疗保健通讯 医疗保健通讯
- 儿科医院医药 儿科医院医药
背景情况:
- 安全消息传递在医院临床医生中很普遍,但在儿科环境中没有得到充分的研究.
- 了解沟通模式对于优化儿童医院的工作流程至关重要.
研究的目的:
- 量化安全消息量,响应时间和儿科医院的表情符号使用.
- 识别跨临床角色和单位安全消息传递指标的差异.
主要方法:
- 一个六个月的回顾性分析安全消息数据从3个住院病房的第三级护理儿童医院.
- 安全消息活动被隔离到临床班次,并根据单位和临床医生的角色进行分析.
- 进行了统计分析,以比较消息量,阅读/响应时间和表情符号反应.
主要成果:
- 2,493名临床医生交换了2,848,677条安全消息.
- 医生和前线护理的高级实践提供者 (APP) 的消息量最高 (平均13.4个消息/小时).
- 在临床角色和单位之间观察到消息量和响应时间的显著差异 (P<0.001).
结论:
- 前线医生和APP面临着最大的安全消息传递工作负载.
- 安全的消息系统展示了几乎瞬间的读取和响应时间.
- 需要进一步的研究来评估安全消息对临床医生的福祉和患者安全的影响.
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