Trial reportJournal of hospital medicine2014
Smarter hospital communication: secure smartphone text messaging improves provider satisfaction and perception of efficacy, workflow.
Trial report in Journal of hospital medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mobile technologies to support healthcare provider to healthcare provider communication and management of care.The Cochrane database of systematic reviews · 2020Pooled it
- The impact of mobile technology on teamwork and communication in hospitals: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Interprofessional Communication of Clinicians Using a Mobile Phone App: A Randomized Crossover Trial Using Simulated Patients.Journal of medical Internet research · 2016Trial
- Association Between Conversational Multitasking and Clinician Work Behaviors at a Large US Health Care System: Cohort Study.Journal of medical Internet research · 2025Observational
- Development and Validation of the Intimate Partner Violence Workplace Disruptions Assessment (IPV-WDA).International journal of environmental research and public health · 2025Article
- Association of EHR-Integrated Secure Messaging Use with Clinician Workload and Attention Switching.Journal of general internal medicine · 2025Article
- Digital stress perception and associations with work- and health-related outcomes among general practitioners in Germany: a quantitative study.BMC health services research · 2025Article
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- Article
- Contributors to Electronic Health Record-Integrated Secure Messaging Use: A Study of Over 33,000 Health Care Professionals.Applied clinical informatics · 2024Article
- Adapting Physical Therapy Practice for the "Short-Stay" Total Joint Arthroplasty Patient: A Commentary.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Asynchronous Conferencing Through a Secure Messaging Application Increases Reporting of Medical Errors in a Mature Trauma Center.Journal of patient safety and risk management · 2023Article
- Stressors, Resources, and Strain Associated with Digitization Processes of Medical Staff Working in Neurosurgical and Vascular Surgical Hospital Wards: A Multimethod Study.Healthcare (Basel, Switzerland) · 2023Article
- Improving Communication in a Large Urban Academic Safety Net Hospital System: Implementation of Secure Messaging.Journal of medical systems · 2023Article
- Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.Journal of general internal medicine · 2023Article
- Reduced Workflow Times for Reperfusion Therapy After Acute Ischemic Stroke Using a Visual Task Management Application.Stroke (Hoboken, N.J.) · 2023Article
- The Perceived Ease of Use and Perceived Usefulness of a Web-Based Interprofessional Communication and Collaboration Platform in the Hospital Setting: Interview Study With Health Care Providers.JMIR human factors · 2023Article
- Encrypted smartphone text messaging between spine surgeons may reduce after-hours surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Integrated secure messaging to enhance medical education: a mixed methods study.BMC medical education · 2022Article
- Medical Photography Usage Amongst Doctors at a Portuguese Hospital.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThough current hospital paging systems are neither efficient (callbacks disrupt workflow), nor secure (pagers are not Health Insurance Portability and Accountability Act [HIPAA]-compliant), they are routinely used to communicate patient information. Smartphone-based text messaging is a potentially more convenient and efficient mobile alternative; however, commercial cellular networks are also not secure.
objectiveTo determine if augmenting one-way pagers with Medigram, a secure, HIPAA-compliant group messaging (HCGM) application for smartphones, could improve hospital team communication.
designEight-week prospective, cluster-randomized, controlled trial
settingStanford Hospital
interventionThree inpatient medicine teams used the HCGM application in addition to paging, while two inpatient medicine teams used paging only for intra-team communication. MEASUREMENTS: Baseline and post-study surveys were collected from 22 control and 41 HCGM team members.
resultsWhen compared with paging, HCGM was rated significantly (P < 0.05) more effective in: (1) allowing users to communicate thoughts clearly (P = 0.010) and efficiently (P = 0.009) and (2) integrating into workflow during rounds (P = 0.018) and patient discharge (P = 0.012). Overall satisfaction with HCGM was significantly higher (P = 0.003). 85% of HCGM team respondents said they would recommend using an HCGM system on the wards.
conclusionsSmartphone-based, HIPAA-compliant group messaging applications improve provider perception of in-hospital communication, while providing the information security that paging and commercial cellular networks do not.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.