Hriberšek Mojca, Laxar Daniel, Hammerle Fabian Peter, Ulbing Stefan, Teufel Anna, Bartos Stefan, Gauß Nikola, Niederle Martin, Kimberger Oliver, Schaden Eva
Ludwig Boltzmann Institute Digital Health and Patient Safety, Vienna, Austria.
Medical University of Vienna, Vienna, Austria.
Digit Health. 2024 Dec 15;10:20552076241288760. doi: 10.1177/20552076241288760. eCollection 2024 Jan-Dec.
Perioperative messengers as tools for hospitals to communicate with patients' loved ones during surgery have been described in form of pagers, SMS, email, and apps. The approach of combining multiple means of communication to create a secure and reliable messenger promises several advantages and has not been investigated to date.
The aim was to develop and test the technical feasibility and acceptance of a remote hybrid SMS/web-based perioperative messenger that keeps patients' loved ones informed around the time of surgery.
Three focus groups were held with six physicians, five nurses, and 11 members of the Austrian Patient Council separately to understand their concerns and needs regarding the perioperative messenger. Their input was used to develop the perioperative messenger. Twenty-five patients and their selected loved one tested the messenger in a feasibility study. Data were collected between September 2021 and August 2023.
Focus groups indicated that the most important characteristics of a messenger were transparent and prompt communication, ease-of-use, data security, and no additional workload for healthcare professionals. Our developed perioperative messenger uses SMS notifications to link to new information on a secure web platform. Participating patients were aged between 18 and 78, their loved ones between 18 and 71. Thirteen patients and 15 loved ones were female. A total of 173 messages regarding the 25 surgeries were sent, 99% of which were read on a mobile device. The median time between sending and reading surgery-related messages was 63s. All loved ones were either "fairly satisfied" or "very satisfied".
The idea of a perioperative messenger was received positively by physicians, nurses, and members of the Austrian Patient Council. The developed SMS/web-based hybrid messenger system for receiving perioperative updates was shown to be feasible, and of interest and satisfaction to the loved ones.
围手术期信息传递工具，如传呼机、短信、电子邮件和应用程序，已被用于医院在手术期间与患者家属进行沟通。将多种通信方式结合起来创建一个安全可靠的信息传递工具的方法有诸多优势，但迄今为止尚未得到研究。
旨在开发并测试一种基于短信/网络的远程围手术期信息传递工具的技术可行性和可接受性，该工具可在手术期间让患者家属随时了解情况。
分别与6名医生、5名护士和11名奥地利患者委员会成员进行了3次焦点小组讨论，以了解他们对围手术期信息传递工具的担忧和需求。他们的意见被用于开发围手术期信息传递工具。25名患者及其选定的家属在一项可行性研究中对该信息传递工具进行了测试。数据收集时间为2021年9月至2023年8月。
焦点小组指出，信息传递工具最重要的特点是沟通透明及时、易于使用、数据安全，且不会给医护人员增加额外工作量。我们开发的围手术期信息传递工具使用短信通知链接到安全网络平台上的新信息。参与的患者年龄在18至78岁之间，其家属年龄在18至71岁之间。13名患者和15名家属性别为女性。共发送了173条关于25台手术的信息，其中99%在移动设备上被阅读。发送和阅读与手术相关信息的中位时间为63秒。所有家属均表示“比较满意”或“非常满意”。
围手术期信息传递工具的想法得到了医生、护士和奥地利患者委员会成员的积极认可。所开发的基于短信/网络的混合信息传递系统用于接收围手术期最新情况，被证明是可行的，并且受到了家属的关注和满意。
