Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2023-04-01 DOI:10.1136/bmjhci-2022-100706
Ari Ercole, Claire Tolliday, William Gelson, James H F Rudd, Ewen Cameron, Afzal Chaudhry, Fiona Hamer, Justin Davies
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引用次数: 1

Abstract

Introduction: Obsolete bleep/long-range pager equipment remains firmly embedded in the National Health Service (NHS).

Objective: To introduce a secure, chart-integrated messaging system (Epic Secure Chat) in a large NHS tertiary referral centre to replace non-emergency bleeps/long-range pagers.

Methods: The system was socialised in the months before go-live. Operational readiness was overseen by an implementation group with stakeholder engagement. Cutover was accompanied by a week of Secure Chat and bleeps running in parallel.

Results: Engagement due to socialisation was high with usage stabilising approximately 3 months after go-live. Contact centre internal call activity fell significantly after go-live. No significant patient safety concerns were reported.

Discussion: Uptake was excellent with substantial utilisation well before cutover indirectly supporting high levels of engagement. The majority of those who previously carried bleeps were content to use personal devices for messaging because of user convenience after reassurance about privacy.

Conclusion: An integrated secure messaging system can replace non-emergency bleeps with beneficial impact on service.

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从非紧急情况下的哔哔声和远程寻呼机转移到医院范围内的EHR集成安全消息系统:实施者报告。
简介:过时的哔哔声/远程寻呼机设备仍然牢牢嵌入国家医疗服务体系(NHS)。目标:在大型NHS三级转诊中心引入一个安全的图表集成消息系统(Epic secure Chat),以取代非紧急哔哔声和远程寻呼机。方法:该系统在上线前几个月进行了社会化。业务准备情况由利益攸关方参与的执行小组监督。切换伴随着一周的安全聊天和并行的哔哔声。结果:社交活动的参与度很高,上线约3个月后使用量稳定下来。上线后,联络中心内部呼叫活动显著下降。没有重大的患者安全问题报告。讨论:在转换之前,吸收率非常高,利用率很高,间接支持了高水平的参与。大多数以前携带哔哔声的人都满足于使用个人设备进行消息传递,因为在保证隐私后,用户很方便。结论:一个集成的安全消息系统可以取代非紧急哔哔声,对服务产生有益影响。
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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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