在一个学术医疗系统中实施电子健康记录集成即时通讯系统。
Implementation of an electronic health record-integrated instant messaging system in an academic health system.
作者信息
Kwan Brian, Bell John F, Longhurst Christopher A, Goldhaber Nicole H, Clay Brian
机构信息
Department of Emergency Medicine, University of California San Diego School of Medicine, San Diego, CA, United States.
Department of Biomedical Informatics, University of California San Diego Health, San Diego, CA, United States.
出版信息
J Am Med Inform Assoc. 2024 Apr 3;31(4):997-1000. doi: 10.1093/jamia/ocad253.
OBJECTIVES
Effective communication amongst healthcare workers simultaneously promotes optimal patient outcomes when present and is deleterious to outcomes when absent. The advent of electronic health record (EHR)-embedded secure instantaneous messaging systems has provided a new conduit for provider communication. This manuscript describes the experience of one academic medical center with deployment of one such system (Secure Chat).
METHODS
Data were collected on Secure Chat message volume from June 2017 to April 2023. Significant perideployment events were reviewed chronologically.
RESULTS
After the first coronavirus disease 2019 lockdown in March 2020, messaging use increased by over 25 000 messages per month, with 1.2 million messages sent monthly by April 2023. Comparative features of current communication modalities in healthcare were summarized, highlighting the many advantages of Secure Chat.
CONCLUSIONS
While EHR-embedded secure instantaneous messaging systems represent a novel and potentially valuable communication medium in healthcare, generally agreed-upon best practices for their implementation are, as of yet, undetermined.
目的
医护人员之间的有效沟通在存在时能同时促进最佳的患者治疗效果，而在不存在时则对治疗效果有害。电子健康记录（EHR）嵌入式安全即时通讯系统的出现为医护人员之间的沟通提供了新渠道。本文描述了一家学术医疗中心部署此类系统（安全聊天）的经验。
方法
收集了2017年6月至2023年4月期间安全聊天消息量的数据。按时间顺序回顾了部署前后的重大事件。
结果
在2020年3月首次实施2019冠状病毒病封锁措施后，消息使用量每月增加超过25000条，到2023年4月每月发送消息达120万条。总结了医疗保健领域当前沟通方式的比较特征，突出了安全聊天的诸多优势。
结论
虽然EHR嵌入式安全即时通讯系统是医疗保健领域一种新颖且可能有价值的沟通媒介，但截至目前，尚未确定普遍认可的最佳实施做法。
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