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Dalal AK, Schnipper J, Massaro A, et al. A web-based and mobile patient-centered ''microblog'' messaging platform to improve care team communication in acute care. J Am Med Inform Assoc. 2017;24:e178-e184doi: 10.1093/jamia/ocw110.
Dalal, A. K., Schnipper, J., Massaro, A., Hanna, J., Mlaver, E., McNally, K., Stade, D., Morrison, C., & Bates, D. W. (2017). A web-based and mobile patient-centered ''microblog'' messaging platform to improve care team communication in acute care. Journal of the American Medical Informatics Association : JAMIA, 24e178-e184. https://doi.org/10.1093/jamia/ocw110
Dalal, Anuj K, et al. "A web-based and mobile patient-centered ''microblog'' messaging platform to improve care team communication in acute care." Journal of the American Medical Informatics Association : JAMIA vol. 24 (2017): e178-e184. doi: https://doi.org/10.1093/jamia/ocw110
Dalal AK, Schnipper J, Massaro A, Hanna J, Mlaver E, McNally K, Stade D, Morrison C, Bates DW. A web-based and mobile patient-centered ''microblog'' messaging platform to improve care team communication in acute care. J Am Med Inform Assoc. 2017 Apr 01;24:e178-e184. doi: 10.1093/jamia/ocw110. PMID: 27539201; PMCID: PMC7651930.
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J Am Med Inform Assoc. 2017 Apr 01;24:e178-e184. doi: 10.1093/jamia/ocw110.

A web-based and mobile patient-centered ''microblog'' messaging platform to improve care team communication in acute care.

Journal of the American Medical Informatics Association : JAMIA

Anuj K Dalal, Jeffrey Schnipper, Anthony Massaro, John Hanna, Eli Mlaver, Kelly McNally, Diana Stade, Constance Morrison, David W Bates

Affiliations

  1. Brigham and Women's Hospital, Boston, Massachusetts.
  2. Harvard Medical School, Boston.
  3. Partners HealthCare, Boston.

PMID: 27539201 PMCID: PMC7651930 DOI: 10.1093/jamia/ocw110

Abstract

Communication in acute care settings is fragmented and occurs asynchronously via a variety of electronic modalities. Providers are often not on the same page with regard to the plan of care. We designed and developed a secure, patient-centered "microblog" messaging platform that identifies care team members by synchronizing with the electronic health record, and directs providers to a single forum where they can communicate about the plan of care. The system was used for 35% of patients admitted to a medical intensive care unit over a 6-month period. Major themes in messages included care coordination (49%), clinical summarization (29%), and care team collaboration (27%). Message transparency and persistence were seen as useful features by 83% and 62% of respondents, respectively. Availability of alternative messaging tools and variable use by non-unit providers were seen as main barriers to adoption by 83% and 62% of respondents, respectively. This approach has much potential to improve communication across settings once barriers are addressed.

© The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: [email protected].

Keywords: care coordination; care team communication; innovation; quality improvement; secure messaging

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