@Article{信息:doi 10.2196 / / jmir。4854,作者=“Patel, Bhavesh和Johnston, Maximilian和Cookson, Natalie和King, Dominic和Arora, Sonal和Darzi, Ara”,标题=“临床医生使用手机应用程序的跨专业沟通:使用模拟患者的随机交叉试验”,期刊=“J Med Internet Res”,年=“2016”,月=“Apr”,日=“06”,卷=“18”,数=“4”,页=“e79”,关键词=“沟通;移动电话;寻呼机;应用程序;应用程序;提高护理水平;背景:大多数医院使用寻呼系统作为主要的通信系统,尽管终端用户普遍不满意。为此,我们开发了一个基于app的交流系统(叫做Hark),以促进和提高人与人之间的交流质量。目的:我们研究的目的是(1)评估使用基于寻呼机和应用程序(Hark)通信系统的信息传输质量,(2)确定使用手机应用程序来升级护理是否会导致额外的通信延迟,以及(3)确定最终用户如何看待手机应用程序作为寻呼机的替代品。 Methods: We recruited junior (postgraduate year 1 and 2) doctors and nurses from a range of specialties and randomly assigned them to 2 groups who used either a pager device or the mobile phone-based Hark app. We asked nurses to hand off simulated patients while doctors were asked to receive handoff information using these devices. The quality of information transfer, time taken to respond to messages, and users' satisfaction with each device was recorded. Each participant used both devices with a 2-week washout period in between uses. Results: We recruited 22 participants (13 nurses, 9 doctors). The quality of the referrals made by nurses was significantly better when using Hark (Hark median 118, range 100--121 versus pager median 77, range 39--104; P=.001). Doctors responded to messages using Hark more quickly than when responding to pagers, although this difference was not statistically significant (Hark mean 86.6 seconds, SD 96.2 versus pager mean 136.5 seconds, SD 201.0; P=.12). Users rated Hark as significantly better on 11 of the 18 criteria of an information transfer device (P<.05) These included ``enhances interprofessional efficiency,'' ``results in less disturbance,'' ``performed desired functions reliably,'' and ``allows me to clearly transfer information.'' Conclusions: Hark improved the quality of transfer of information about simulated patients and was rated by users as more effective and efficient, and less distracting than pagers. Using this device did not result in delay in patient care. ", issn="1438-8871", doi="10.2196/jmir.4854", url="//www.mybigtv.com/2016/4/e79/", url="https://doi.org/10.2196/jmir.4854", url="http://www.ncbi.nlm.nih.gov/pubmed/27052694" }
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