Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application
Background: Hospitals are transitioning away from traditional pagers to secure text messaging (STM) applications. STM is perceived to improve efficiency and accessibility. There is limited research on user's impressions of how STM impacts patient safety, provider wellness, and quality of patien...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Computer Methods and Programs in Biomedicine Update |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666990024000296 |
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| author | Andrew W Halterman Anneli R Cochrane Andrew D Miller Joy L Lee William E Bennett, Jr Emily L Mueller |
| author_facet | Andrew W Halterman Anneli R Cochrane Andrew D Miller Joy L Lee William E Bennett, Jr Emily L Mueller |
| author_sort | Andrew W Halterman |
| collection | DOAJ |
| description | Background: Hospitals are transitioning away from traditional pagers to secure text messaging (STM) applications. STM is perceived to improve efficiency and accessibility. There is limited research on user's impressions of how STM impacts patient safety, provider wellness, and quality of patient care. Objectives: To understand the use and perceptions of a clinical STM by pediatric residents at a free-standing quaternary care children's hospital. Methods: A survey was conducted of pediatric residents regarding their experience with Diagnotes®. Demographic data were obtained along with use patterns, ability to perform tasks, and perceptions of intended purpose. Further questions evaluated agreement with communication strategies and satisfaction with features. Three open-ended questions asked about experience where STM impacted (1) patient care coordination and (2) patient safety. A final question asked for any additional STM feedback. Results: Of 169 surveys, there were 112 respondents (66.3 % response rate). Respondents unanimously endorsed daily STM use on their personal mobile devices with good knowledge of basic features. Respondents were overall satisfied with Diagnotes® (73.9 %) including the ability to communicate efficiently (84.8 %) and effectively (79.5 %). Yet only 32.1 % were satisfied with Diagnotes® training. Only 59.5 % believed Diagnotes® was appropriate for urgent patient care needs and only 43.2 % believed its purpose was to inform the team of patient emergencies. Key qualitative themes included improved coordination of patient care tasks through STM, but there were concerns raised around sending and receiving messages, the additional cognitive burden placed by STM, and differences in culture of use that created conflict. Conclusions: Diagnotes® is viewed positively including use for effective coordination of patient care and familiarity of functions of Diagnotes®. Barriers included unclear interprofessional expectations for use. Future research should incorporate a broad range of healthcare professionals' perceptions and co-creation of STM best practice guidelines for use, including around urgent or emergent patient care issues. |
| format | Article |
| id | doaj-art-38afe5e7e1e74b4eb5d6d04b688ccd13 |
| institution | DOAJ |
| issn | 2666-9900 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Computer Methods and Programs in Biomedicine Update |
| spelling | doaj-art-38afe5e7e1e74b4eb5d6d04b688ccd132025-08-20T02:39:28ZengElsevierComputer Methods and Programs in Biomedicine Update2666-99002024-01-01610016210.1016/j.cmpbup.2024.100162Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging applicationAndrew W Halterman0Anneli R Cochrane1Andrew D Miller2Joy L Lee3William E Bennett, Jr4Emily L Mueller5Indiana University School of Medicine, Department of Pediatrics, USAIndiana University School of Medicine, Department of Pediatrics, Division of Pediatric Hematology Oncology, USA; Indiana University School of Medicine, Department of Pediatrics, Pediatric Accelerator for Careers Engaged in Research, USAIndiana University, Luddy School of Informatics, Computing and Engineering, Department of Human-Centered Computing, USAUMass Chan Medical School, Department of Population and Quantitative Health Sciences, Division of Health Informatics and Implementation Science, USAIndiana University School of Medicine, Department of Pediatrics, Pediatric Accelerator for Careers Engaged in Research, USA; Indiana University School of Medicine, Department of Pediatrics, Section of Pediatric Gastroenterology, Hepatology, and Nutrition, USAIndiana University School of Medicine, Department of Pediatrics, Division of Pediatric Hematology Oncology, USA; Indiana University School of Medicine, Department of Pediatrics, Pediatric Accelerator for Careers Engaged in Research, USA; Corresponding author.Background: Hospitals are transitioning away from traditional pagers to secure text messaging (STM) applications. STM is perceived to improve efficiency and accessibility. There is limited research on user's impressions of how STM impacts patient safety, provider wellness, and quality of patient care. Objectives: To understand the use and perceptions of a clinical STM by pediatric residents at a free-standing quaternary care children's hospital. Methods: A survey was conducted of pediatric residents regarding their experience with Diagnotes®. Demographic data were obtained along with use patterns, ability to perform tasks, and perceptions of intended purpose. Further questions evaluated agreement with communication strategies and satisfaction with features. Three open-ended questions asked about experience where STM impacted (1) patient care coordination and (2) patient safety. A final question asked for any additional STM feedback. Results: Of 169 surveys, there were 112 respondents (66.3 % response rate). Respondents unanimously endorsed daily STM use on their personal mobile devices with good knowledge of basic features. Respondents were overall satisfied with Diagnotes® (73.9 %) including the ability to communicate efficiently (84.8 %) and effectively (79.5 %). Yet only 32.1 % were satisfied with Diagnotes® training. Only 59.5 % believed Diagnotes® was appropriate for urgent patient care needs and only 43.2 % believed its purpose was to inform the team of patient emergencies. Key qualitative themes included improved coordination of patient care tasks through STM, but there were concerns raised around sending and receiving messages, the additional cognitive burden placed by STM, and differences in culture of use that created conflict. Conclusions: Diagnotes® is viewed positively including use for effective coordination of patient care and familiarity of functions of Diagnotes®. Barriers included unclear interprofessional expectations for use. Future research should incorporate a broad range of healthcare professionals' perceptions and co-creation of STM best practice guidelines for use, including around urgent or emergent patient care issues.http://www.sciencedirect.com/science/article/pii/S2666990024000296Computer-mediated communicationMobile technologyInterprofessional collaboration |
| spellingShingle | Andrew W Halterman Anneli R Cochrane Andrew D Miller Joy L Lee William E Bennett, Jr Emily L Mueller Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application Computer Methods and Programs in Biomedicine Update Computer-mediated communication Mobile technology Interprofessional collaboration |
| title | Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application |
| title_full | Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application |
| title_fullStr | Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application |
| title_full_unstemmed | Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application |
| title_short | Pediatric resident use, perceptions, and desires for improvement of a clinical secure messaging application |
| title_sort | pediatric resident use perceptions and desires for improvement of a clinical secure messaging application |
| topic | Computer-mediated communication Mobile technology Interprofessional collaboration |
| url | http://www.sciencedirect.com/science/article/pii/S2666990024000296 |
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