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是一款安全的移动应用程序，可在医院内进行高效通信和结构化任务管理。该产品使护士、医生和支持人员能够全天候为患者提供和协调护理。随着医院面临前所未有的程序、手术和其他医疗需求的积压，在从冠状病毒大流行中恢复的背景下，这款应用是必要的。医院需要逐步改变提供护理的效率和模式。Call-4-Help是为了提高临床生产力、改善患者预后、避免可预防的伤害和降低成本而开发的，使NHS能够以相同的资金随着时间的推移照顾更多的患者。该产品将在临床通信平台中独一无二，最初部署是为了应对NHS试点重症监护病房在新冠肺炎激增期间突然增加的工作量。在此期间，原型应用程序帮助解决了特定的挑战，如员工技能基础、新冠肺炎隔离区域的护理协调以及穿戴个人防护装备(PPE)时进行沟通的必要性。展望未来，医院工作人员在为可能等待治疗数月的患者提供安全有效的护理方面将面临类似而独特的挑战。随着医院适应新常态，恢复临床服务的广度，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操作反馈，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-Help的变革性创新是，小组聊天或纸质列表被为医院或专科环境设计的结构化任务队列系统所取代，戴着手套、口罩和面罩等个人防护装备时，可以使用一个简单的统一界面。它还有助于通过减少工作人员进出保护区的过渡次数来阻止个人防护设备的浪费。护理或辅助任务以合作的方式进行。员工使用移动界面输入新的请求，并收到其他人输入的相关任务请求的通知，从而允许个人查看其组中的所有任务。任务被认领或分配给相关工作人员，然后他们通过文本、视频、照片和音频安全地交换信息。应答者完成请求，如果他们不再支持，则取消申请，将其发送回协作池。这款应用将取代纸质任务列表、寻呼或“哔哔声”的过时和不安全做法，以及不适当地使用包含患者身份数据的社交消息平台。该产品将符合NHS信息管理框架，与现有的IT系统接口，并提供沟通的证据线索。对于病房和医院经理，该产品将提供仪表板工具，以便分析工作流程瓶颈和频繁重复出现的问题。根据客户的需求协作开发该应用程序将导致护理协调方面明显、可衡量的改善，确保该产品在不断扩大的英国市场和当前的NHS采购计划中的地位，未来的注意力将指向面临类似挑战的国际医疗保健背景。

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.