Call-4-Help — Development of the Call-4-Help mobile app which ensures hospital staff can find the resources they need quickly, easily and securely

Call-4-Help是一款安全的移动的应用程序，用于医院内的高效通信和结构化任务管理。该产品使护士、医生和辅助人员能够全天候为患者提供和协调护理。在从冠状病毒大流行中恢复的背景下，医院面临着前所未有的积压程序，操作和其他医疗保健需求，需要该应用程序。医院需要在效率和护理提供模式方面进行一步改变。Call-4-Help的开发旨在提高临床生产力、改善患者治疗效果、避免可预防的伤害并降低成本，使更多患者能够在同一时间内得到NHS的护理。该产品将在临床通信平台中独树一帜，最初部署是为了应对NHS试点重症监护室在COVID-19激增期间工作量的突然增加。在此期间，原型应用程序帮助解决了特定的挑战，例如员工技能基础，COVID-19隔离区域的护理协调以及佩戴个人防护设备（PPE）时的沟通需求。展望未来，医院工作人员将在为可能已经等待数月治疗的患者提供安全有效的护理方面遇到类似和独特的挑战。随着医院适应“新常态”，同时恢复广泛的临床服务，包括在持续感染风险的背景下为弱势人群提供服务，该项目将获得临床和运营反馈，以完善满足这些需求的工具，同时准备与新医院的工作流程整合。Call-4-帮助在于，群聊或纸质列表被设计用于医院或专业环境的结构化任务队列系统所取代，该系统具有简单的统一界面，可在佩戴手套、呼吸器和面罩等PPE时使用。通过减少工作人员进出保护区的次数，还有助于防止PPE的浪费。护理或辅助任务以合作的方式进行。工作人员使用移动的界面输入新的请求，并收到其他人输入的相关任务请求的通知，允许个人查看其组中的所有任务。任务被要求或分配给相关工作人员，然后通过文本，视频，照片和音频安全地私下交换信息。响应者完成请求，或者在无法再支持请求时取消请求，将请求发送回协作池。该应用程序将取代过时且不安全的纸质任务列表、寻呼或“哔哔声”以及不当使用包含患者身份数据的社交消息平台的做法。该产品将符合NHS信息治理框架，与现有的IT系统接口，并提供通信的证据线索。对于病房和医院管理人员，该产品将提供仪表板工具，以便分析工作流程瓶颈和经常出现的问题。协同开发符合客户需求的应用程序将导致护理协调方面明显的、可衡量的改善，确保产品在不断扩大的英国市场和当前NHS采购计划中的地位，未来的注意力将转向面临类似挑战的国际卫生保健环境。

Call-4-Help is a secure mobile app for efficient communication and structured task management within hospitals. The product enables nurses, doctors and supporting staff to provide and coordinate care for their patients round-the-clock. The app is needed in the context of the recovery from the coronavirus pandemic, with hospitals facing an unprecedented backlog of procedures, operations and other healthcare needs. Hospitals require a step change in efficiency and models of care delivery. Call-4-Help has been developed to boost clinical productivity, improve patient outcomes, avoid preventable harms and reduce costs, enabling more patients to be cared for by the NHS over time with the same money.The product will be unique amongst clinical communications platforms, being initially deployed in response to the sudden increase in workload during the COVID-19 surge at an NHS pilot Intensive Care Unit. During this period, the prototype app helped with specific challenges such as staff skill-base, care coordination across COVID-19 segregated areas and the need to communicate while wearing Personal Protective Equipment (PPE). Going forward, hospital staff will encounter similar and distinct challenges in providing safe and efficient care for patients who may have been waiting many months for treatment. As hospitals adjust to the 'new normal' while resuming the breadth of clinical services, including for vulnerable people in the context of ongoing infection risks, this project will obtain clinical and operational feedback to refine the tool for these needs, while preparing for integration with new hospitals' workflows.The transformational innovation of Call-4-Help is that group chats or paper lists are replaced by a system of structured task queues designed for hospital or speciality environments, with a simple unified interface usable while wearing PPE such as gloves, respirator and visor. It also helps to stop waste of PPE by reducing the number of transitions staff make in and out of protected areas.Care or ancillary tasks are actioned in a cooperative way. Staff enter new requests using the mobile interface, and are notified of relevant task requests entered by others, allowing individuals to see all the tasks in their groups. Tasks are claimed or assigned to relevant staff who then securely exchange information privately via text, videos, photos and audio. The responder completes the request or unclaims it if they can no longer support it, sending it back to the collaborative pool.The app will replace outdated and insecure practices of paper-based task lists, paging or 'bleeping' and inappropriate use of social messaging platforms containing patient-identifiable data. The product will be compliant to NHS information governance frameworks, interface with existing IT systems and provide an evidence trail of communication. For ward and hospital managers, the product will provide dashboard tools to enable analysis of workflow bottlenecks and frequently recurring issues.Collaborative development of the app aligned to the needs of its customers will result in demonstrable, measurable improvement in care coordination, securing the product's place in an expanding UK market and current NHS procurement initiatives, with future attention directed towards international healthcare contexts facing similar challenges.