Hakes Nicholas A, Kethman William C, Spain David, Nassar Aussama K
Section of Acute Care Surgery, Department of Surgery, Stanford University, Stanford, California, USA.
Department of Surgery, University Hospitals Research in Surgical Outcomes and Effectiveness Center (RISES), Cleveland, Ohio, USA.
Trauma Surg Acute Care Open. 2020 Jul 23;5(1):e000479. doi: 10.1136/tsaco-2020-000479. eCollection 2020.
Providing up-to-date, universally accessible care guidelines and education within a quaternary care center is challenging. At our institution, trauma and acute care surgery guidelines have historically been published using a paper-based format. Mobile application-based guidelines were developed to address the shortcomings of paper-based guidelines.
We assessed the utility, usability, and satisfaction of healthcare providers towards paper-based versus mobile application-based guidelines. A survey was administered to providers within the emergency department and intensive care unit.
Fifty of 137 providers responded (36.5% response rate). Nearly half (47.4%, 9 of 19) of those who received a copy of the paper-based guidelines lost the guidelines at least once. Regarding usage of the mobile application-based guidelines, 92.6% (25 of 27) were aware of the application; 92.6% (25 of 27) considered the application comprehensive, 85.2% (23 of 27) thought the application was organized, and 66.7% (18 of 27) thought the application was easy to use. Additionally, 88.9% (24 of 27) found the application moderately, very, or extremely helpful and 85.2% (23 of 27) judged the application moderately, very, or extremely necessary. Overall, 88.9% (24 of 27) were satisfied with the application and indicated likeliness to recommend to a colleague. Seventeen of 27 (63.0%) agreed or strongly agreed that the application improved their provision of trauma and acute care.
This survey demonstrates positive usability, utility, and satisfaction among trauma healthcare providers with the mobile application-based guidelines. Additionally, this quality improvement initiative highlights the importance of having comprehensive, organized, and easy-to-use trauma and acute care surgery guidelines and targeted educational materials available on demand. The successful transition from paper to mobile application-based guidelines serves as a model for other institutions to modernize and improve patient care and provider education.
IV.
在四级医疗中心提供最新的、普遍可及的护理指南和教育具有挑战性。在我们机构，创伤和急性护理手术指南历来以纸质形式发布。基于移动应用程序的指南应运而生，以弥补纸质指南的不足。
我们评估了医疗服务提供者对纸质指南与基于移动应用程序的指南的实用性、易用性和满意度。对急诊科和重症监护病房的医疗服务提供者进行了一项调查。
137名医疗服务提供者中有50人回复（回复率为36.5%）。收到纸质指南副本的人中，近一半（47.4%，19人中有9人）至少丢失过一次指南。关于基于移动应用程序的指南的使用情况，92.6%（27人中有25人）知晓该应用程序；92.6%（27人中有25人）认为该应用程序内容全面，85.2%（27人中有23人）认为该应用程序条理清晰，66.7%（27人中有18人）认为该应用程序易于使用。此外，88.9%（27人中有24人）认为该应用程序有一定帮助、非常有帮助或极其有帮助，85.2%（27人中有23人）认为该应用程序有一定必要、非常必要或极其必要。总体而言，88.9%（27人中有24人）对该应用程序感到满意，并表示有可能向同事推荐。27人中有17人（63.0%）同意或强烈同意该应用程序改善了他们对创伤和急性护理的提供。
本次调查表明，创伤医疗服务提供者对基于移动应用程序的指南具有积极的易用性、实用性和满意度。此外，这项质量改进举措凸显了按需提供全面、条理清晰且易于使用的创伤和急性护理手术指南以及针对性教育材料的重要性。从纸质指南到基于移动应用程序的指南的成功转变为其他机构实现现代化并改善患者护理和医疗服务提供者教育提供了一个范例。
四级
