Evidence map›Paper›PMID 41391482›Full record

ArticleHospital pediatrics2026

Characterization of Secure Message Use in a Children's Hospital.

Austin DeChalus, Brooke Luo, Amina Khan, Alexis Z Tomlinson, Chris Bonafide, Halley Ruppel

Abstract read
In one paragraph

Article in Hospital pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Austin DeChalusSection of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.
Brooke LuoSection of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.
Amina KhanDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Pennsylvania.
Alexis Z TomlinsonDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Pennsylvania.
Chris BonafideSection of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.
Halley RuppelClinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Pennsylvania.

Funding

Pediatric Hospital Epidemiology and Outcomes Research Training ProgramT32HD060550 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Christopher Peter Bonafide, John Chris Feudtner · 2010 to 2026
$6.8M
AHRQ HHS R18 HS029473NICHD NIH HHS T32 HD060550
6 · The paper itself

Abstract

objectivesSecure messaging is an increasingly common mode of communication among hospital-based clinicians. The use of these systems in pediatric settings is poorly understood. We sought to describe secure message volume, message response time, and emoji reaction use in a large children's hospital.

methodsWe extracted 6 months of secure message data from staff working on 3 inpatient units of an urban tertiary care children's hospital. Using assignment data, we isolated secure message activity during clinical shifts on these 3 units to report message volume, message response time, and emoji reaction use by unit and clinical role. We performed statistical analysis to compare message metrics within units and secondary analysis for key role comparisons.

resultsA total of 2493 clinicians sent and read 2 848 677 secure messages during the study period. Physicians and advanced practice providers (APPs) providing direct front-line care had the highest message use, a median of 13.4 (IQR 9.9, 17.3) combined sent and received messages per hour. We found significant differences in message volume and time to read, respond, and react to messages across clinical roles within units (all P<0.001). Front-line clinicians across units had significant differences in secure message volume and response times. (P<0.001).

conclusionsFront-line physicians and APPs experienced the highest message burden per person across all clinical roles. We demonstrated nearly immediate message read and response times. Additional study is needed to understand the effects of secure messaging on clinician well-being and patient safety.

Indexed as

Computer SecurityHospitals, PediatricChildHumansText Messaging

Identifiers

PMID41391482
PMCPMC12707583

What OpenQuestion holds

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Registered trials

None linked

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.