Kentab Osama, Soliman Khaled, AAl Ibrahim Ahmad, Alresseeni Abdulaziz, Aljohani Khalid, Aljahany Muna
Emergency Department, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Clinical Sciences Department, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Open Access Emerg Med. 2021 May 20;13:189-199. doi: 10.2147/OAEM.S308804. eCollection 2021.
To assess the effects of using a smartphone-based push-to-talk (PTT) application on communication, safety, and clinical performance of emergency department (ED) workers during the COVID-19 outbreak.
An observational, cross-sectional study.
ED in an academic medical center.
All ED staff members, including physicians (consultants, specialists, residents, and interns), nurses, emergency medical services staff, technicians (X-ray), and administration employees.
Eligible participants (n=128) were invited to fill out an online questionnaire 30 days after using a PTT application for sharing instant voice messages during the COVID-19 outbreak.
Self-reported data related to communication, implementation of personal protective measures, and clinical performance at the ED were collected and analyzed on a 5-item Likert scale (from 5 [strongly agree] to 1 [strongly disagree]). Also, the proportions of favorable responses (agree or strongly agree) were calculated.
Responses of 119 participants (51.3% females, 58.8% nurses, and 34.5% physicians; 90.4% received at least one notification per day) were analyzed. The participants had favorable responses regarding all domains of communication (between 63.0% and 81.5%), taking precautionary infection control measures (between 49.6% and 79.0%), and performance (between 55.5% and 72.3%). Receiving fake and annoying alerts and application breakdowns were the lowest perceived limitations (between 12.5% and 21.0%).
The assessed PTT application can be generalized to other departments and hospitals dealing with patients with COVID-19 to optimize staff safety and institutional preparedness.
评估在新型冠状病毒肺炎（COVID - 19）疫情期间，使用基于智能手机的一键通（PTT）应用程序对急诊科工作人员的沟通、安全及临床工作表现的影响。
一项观察性横断面研究。
一所学术医疗中心的急诊科。
所有急诊科工作人员，包括医生（顾问医生、专科医生、住院医师和实习医生）、护士、急救医疗服务人员、技术人员（X光）及行政人员。
符合条件的参与者（n = 128）在COVID - 19疫情期间使用PTT应用程序分享即时语音消息30天后，被邀请填写一份在线问卷。
收集并分析与急诊科沟通、个人防护措施实施及临床工作表现相关的自我报告数据，采用5级李克特量表（从5[强烈同意]到1[强烈不同意]）。此外，计算肯定回答（同意或强烈同意）的比例。
分析了119名参与者的回复（51.3%为女性，58.8%为护士，34.5%为医生；90.4%的人每天至少收到一次通知）。参与者在沟通的所有领域（63.0%至81.5%）、采取预防性感染控制措施（49.6%至79.0%）及工作表现（55.5%至72.3%）方面都给出了肯定回答。收到虚假和烦人的警报以及应用程序故障是被认为最少的限制因素（12.5%至21.0%）。
所评估的PTT应用程序可推广至其他诊治COVID - 19患者的科室及医院，以优化工作人员安全及机构准备工作。
