ArticleJournal of the American Medical Informatics Association : JAMIA2024
Implementation of an electronic health record-integrated instant messaging system in an academic health system.
Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- 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
- Large language model agents can use tools to perform clinical calculations.NPJ digital medicine · 2025Article
- Secure Messaging Use and Wrong-Patient Ordering Errors Among Inpatient Clinicians.JAMA network open · 2024Article
- Primary Care Informatics: Vitalizing the Bedrock of Health Care.Journal of medical Internet research · 2024Article
- Contributors to Electronic Health Record-Integrated Secure Messaging Use: A Study of Over 33,000 Health Care Professionals.Applied clinical informatics · 2024Article
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
objectivesEffective communication amongst healthcare workers simultaneously promotes optimal patient outcomes when present and is deleterious to outcomes when absent. The advent of electronic health record (EHR)-embedded secure instantaneous messaging systems has provided a new conduit for provider communication. This manuscript describes the experience of one academic medical center with deployment of one such system (Secure Chat).
methodsData were collected on Secure Chat message volume from June 2017 to April 2023. Significant perideployment events were reviewed chronologically.
resultsAfter the first coronavirus disease 2019 lockdown in March 2020, messaging use increased by over 25 000 messages per month, with 1.2 million messages sent monthly by April 2023. Comparative features of current communication modalities in healthcare were summarized, highlighting the many advantages of Secure Chat.
conclusionsWhile EHR-embedded secure instantaneous messaging systems represent a novel and potentially valuable communication medium in healthcare, generally agreed-upon best practices for their implementation are, as of yet, undetermined.
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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.