Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams
Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams
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DOI：
10.1016/j.amjsurg.2014.08.030
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发表时间：
2015-01-01
影响因子：
3
通讯作者：
Darzi, Ara
中科院分区：
文献类型：
--
作者：
Johnston, Maximilian J.;King, Dominic;Darzi, Ara
背景：医疗保健领域过时的通信技术可能使患者安全面临风险。本研究旨在评估 WhatsApp 消息服务在急诊外科团队中的实施情况。方法：在伦敦一家医院进行了一项前瞻性混合方法研究。所有急诊手术团队成员 (n = 40) 使用 WhatsApp 进行交流 19 周。比较通信发起者和接收者的响应时间和通信类型。使用直接引用来报告安全事件。 结果：记录了 636 名患者超过 1,100 小时的沟通，产生了 1,495 个沟通事件。主治医师发起的指导性沟通最多，而实习生提出的临床问题最多 (P < .001)。与实习生和主治医师相比，住院医师对沟通的反应速度最快 (P < .001)。参与者认为 WhatsApp 有助于扁平化团队内部的层级结构。结论：WhatsApp 代表了一种安全、高效的通信技术。这项研究为通过智能手机提供的质量改进创新奠定了基础。 (C) 2015 Elsevier Inc. 保留所有权利。
BACKGROUND: Outdated communication technologies in healthcare can place patient safety at risk. This study aimed to evaluate implementation of the WhatsApp messaging service within emergency surgical teams.METHODS: A prospective mixed-methods study was conducted in a London hospital. All emergency surgery team members (n = 40) used WhatsApp for communication for 19 weeks. The initiator and receiver of communication were compared for response times and communication types. Safety events were reported using direct quotations.RESULTS: More than 1,100 hours of communication pertaining to 636 patients were recorded, generating 1,495 communication events. The attending initiated the most instruction-giving communication, whereas interns asked the most clinical questions (P < .001). The resident was the speediest responder to communication compared to the intern and attending (P < .001). The participants felt that WhatsApp helped flatten the hierarchy within the team.CONCLUSIONS: WhatsApp represents a safe, efficient communication technology. This study lays the foundations for quality improvement innovations delivered over smartphones. (C) 2015 Elsevier Inc. All rights reserved.