ArticleApplied clinical informatics2016
Perfect Storm of Inpatient Communication Needs and an Innovative Solution Utilizing Smartphones and Secured Messaging.
Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Association Between Conversational Multitasking and Clinician Work Behaviors at a Large US Health Care System: Cohort Study.Journal of medical Internet research · 2025Observational
- Networked Behaviors Associated With a Large-Scale Secure Messaging Network: Cross-Sectional Secondary Data Analysis.JMIR medical informatics · 2025Article
- Association of EHR-Integrated Secure Messaging Use with Clinician Workload and Attention Switching.Journal of general internal medicine · 2025Article
- Article
- Assessing intradisciplinary pharmacy communication related to transitions of care.Exploratory research in clinical and social pharmacy · 2024Article
- Contributors to Electronic Health Record-Integrated Secure Messaging Use: A Study of Over 33,000 Health Care Professionals.Applied clinical informatics · 2024Article
- Characterizing the Patterns of Electronic Health Record-Integrated Secure Messaging Use: Cross-Sectional Study.Journal of medical Internet research · 2023Observational
- Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.Journal of general internal medicine · 2023Article
- Qualitative Analysis of Team Communication with a Clinical Texting System at a Midwestern Academic Hospital.Applied clinical informatics · 2022Article
- It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Evaluating the Impact of a New Smartphone Texting Tool on Patient Care in Obstetrics, an Emergent Healthcare Setting.Applied clinical informatics · 2019Article
- A Bottom-Up Approach to Encouraging Sustained User Adoption of a Secure Text Messaging Application.Applied clinical informatics · 2019Article
- Evaluation of Secure Messaging Applications for a Health Care System: A Case Study.Applied clinical informatics · 2019Article
- Using telephony data to facilitate discovery of clinical workflows.Applied clinical informatics · 2017Article
- A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician Communication.Applied clinical informatics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn hospitals, effective and efficient communication among care providers is critical to the provision of high-quality patient care. Yet, major problems impede communications including the frequent use of interruptive and one-way communication paradigms. This is especially frustrating for frontline providers given the dynamic nature of hospital care teams in an environment that is in constant flux.
methodsWe conducted a pre-post evaluation of a commercially available secured messaging mobile application on 4 hospital units at a single institution for over one year. We included care providers on these units: residents, hospitalists, fellows, nurses, social workers, and pharmacists. Utilization metrics and survey responses on clinician perceptions were collected and analyzed using descriptive statistics, the Kruskal-Wallis test, and Mann-Whitney U test where appropriate.
resultsBetween May 2013 and June 2014, 1,021 providers sent a total of 708,456 messages. About 85.5% of total threads were between two providers and the remaining were group messages. Residents and social workers/clinical resource coordinators were the largest per person users of this communication system, sending 9 (IQR 2-20) and 9 (IQR 2-22) messages per person per day, and receiving 18 (IQR 5-36) and 14 (IQR 5-29) messages per person per day, respectively (p=0.0001). More than half of the messages received by hospitalists, residents, and nurses were read within a minute. Communicating using secured messaging was found to be statistically significantly less disruptive to workflow by both nursing and physician survey respondents (p<0.001 for each comparison).
conclusionsRoutine adoption of secured messaging improved perceived efficiency among providers on 4 hospital units. Our study suggests that a mobile application can improve communication and workflow efficiency among providers in a hospital. New technology has the potential to improve communication among care providers in hospitals.
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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.