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首页> 美国卫生研究院文献>Journal of the American Medical Informatics Association : JAMIA >A web-based and mobile patient-centered ‘‘microblog’’ messaging platform to improve care team communication in acute care
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A web-based and mobile patient-centered ‘‘microblog’’ messaging platform to improve care team communication in acute care

机译：基于网络和移动患者中心的MicroBlog消息平台以改善急性护理中的护理团队沟通

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Communication in acute care settings is fragmented and occurs asynchronously via a variety of electronic modalities. Providers are often not on the same page with regard to the plan of care. We designed and developed a secure, patient-centered “microblog” messaging platform that identifies care team members by synchronizing with the electronic health record, and directs providers to a single forum where they can communicate about the plan of care. The system was used for 35% of patients admitted to a medical intensive care unit over a 6-month period. Major themes in messages included care coordination (49%), clinical summarization (29%), and care team collaboration (27%). Message transparency and persistence were seen as useful features by 83% and 62% of respondents, respectively. Availability of alternative messaging tools and variable use by non-unit providers were seen as main barriers to adoption by 83% and 62% of respondents, respectively. This approach has much potential to improve communication across settings once barriers are addressed.
机译：急性护理设置中的通信是分散的，并且通过各种电子方式异步发生。提供者通常不在同一页面上关于护理计划。我们设计和开发了一个安全的患者中心的“微博”消息平台，通过与电子健康记录同步，并将提供商指导到一个关于护理计划的单一论坛来识别护理团队成员。该系统用于35％的患者在6个月内接受医疗密集护理单元的患者。消息中的主要主题包括护理协调（49％），临床摘要（29％）和护理团队合作（27％）。消息透明度和持久性分别被视为有用的特征，分别为83％和62％的受访者。非单位提供商的替代消息工具和变量使用的可用性分别被视为主要障碍，分别获得83％和62％的受访者。一旦解决障碍，这种方法就会有很大的潜力可以改善跨设置的通信。

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