domingo, 7 de febrero de 2016

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. | AHRQ Patient Safety Network

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. | AHRQ Patient Safety Network



On a medicine teaching service, physicians average 22 pages/day, up nearly 50% since 1988. Regionalized services led to fewer pages.
BMJ Qual Saf. 2016 Jan 6; [Epub ahead of print].

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  • Study
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  • Published January 2016

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

    Despite the ubiquity of smartphones, the vast majority of physicians still rely on one-way pagers for communication. This study analyzed the frequency and content of pages on an internal medicine service at a teaching hospital and compared the data to a similar study performed in 1988. Physicians received an average of 22 pages per day, of which 76% were deemed clinically relevant by independent reviewers and 82% required a response. This represented a nearly 50% increase in the volume of pages compared to 1988. Doctors on regionalized services (where patients were admitted to a common unit) received significantly fewer pages than those caring for patients on nonregionalized services, implying that regionalized services may aid face-to-face communication. As interruptions have been shown to negatively affect patient safety, the authors advocate for developing secure two-way methods of communication (such as secure text messaging) for nurses and physicians in order to improve the efficiency of communication around clinical issues.












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