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一款移动应用程序在缩短儿科急诊科治疗周转时间及促进护理人员间沟通方面的有效性:一项随机对照试验性研究

Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial.

作者信息

Ehrler Frederic, Tuor Carlotta, Trompier Remy, Berger Antoine, Ramusi Michael, Rey Robin, Siebert Johan N

机构信息

Division of Medical Information Sciences, Geneva University Hospitals, 1205 Geneva, Switzerland.

Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland.

出版信息

J Pers Med. 2022 Mar 9;12(3):428. doi: 10.3390/jpm12030428.

Abstract

For maintaining collaboration and coordination among emergency department (ED) caregivers, it is essential to effectively share patient-centered information. Indirect activities on patients, such as searching for laboratory results and sharing information with scattered colleagues, waste resources to the detriment of patients and staff. Therefore, we conducted a pilot study to evaluate the initial efficacy of a mobile app to facilitate rapid mobile access to central laboratory results and remote interprofessional communication. A total of 10 ED residents and registered nurses were randomized regarding the use of the app versus conventional methods during semi-simulated scenarios in a pediatric ED (PED). The primary outcome was the elapsed time in minutes in each group from the availability of laboratory results to their consideration by participants. The secondary outcome was the elapsed time to find a colleague upon request. Time to consider laboratory results was significantly reduced from 23 min (IQR 10.5-49.0) to 1 min (IQR 0-5.0) with the use of the app compared to conventional methods (92.2% reduction in mean times, = 0.0079). Time to find a colleague was reduced from 24 min to 1 min (i.e., 93.0% reduction). Dedicated mobile apps have the potential to improve information sharing and remote communication in emergency care.

摘要

为了维持急诊科医护人员之间的协作与协调,有效共享以患者为中心的信息至关重要。对患者的间接活动,如查找实验室检查结果以及与分散的同事共享信息,会浪费资源,对患者和工作人员都不利。因此,我们开展了一项试点研究,以评估一款移动应用程序在促进快速移动访问中央实验室检查结果和远程跨专业交流方面的初步效果。在儿科急诊科(PED)的半模拟场景中,共有10名急诊科住院医师和注册护士被随机分配使用该应用程序或传统方法。主要结局是每组从实验室检查结果可得至参与者考虑这些结果所经过的时间(以分钟计)。次要结局是应要求找到同事所花费的时间。与传统方法相比,使用该应用程序后,考虑实验室检查结果的时间从23分钟(四分位间距10.5 - 49.0)显著缩短至1分钟(四分位间距0 - 5.0)(平均时间减少92.2%,P = 0.0079)。找到同事的时间从24分钟减少至1分钟(即减少93.0%)。专用移动应用程序有潜力改善急诊护理中的信息共享和远程交流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d0/8948631/f43dc1aadd35/jpm-12-00428-g001.jpg

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