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S. Spina

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  • OS04 - Communication Redefined for Better Care Outcomes (ID 7)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
    • OS04.03 - The Impact of Smartphone Communication Technology in Clinical Practice (ID 276)

      S. Spina, Clinical Pharmacy, Royal Jubilee Hospital; Victoria/CA

      • Abstract
      • Slides

      Purpose/Objectives: While almost every other industry has abandoned pagers in favor of smartphones, healthcare remains largely dependent on them as the main communication device. We completed a clinical trial designed to determine how the use of an integrated smartphone solution affects communication (and the efficiency of communication) between hospital pharmacists, physicians, switchboard operators, and ICU nurses/unit clerks compared with current state.

      Methodology/Approach: The study measured how the use of the new integrated smartphone solution, which combines texts, and alerts into one secure smartphone app, affected communication. It enabled clinicians to use their personal devices or corporate devices to text and share secure, encrypted patient digital information. To quantitatively test the hypothesis that smartphones would improve efficiency of communications at Island Health, over 12 dozen clinicians participated in a first-in-Canada prospective, observational study. This project was aimed at improving clinician communication efficiency and improving patient care. The primary outcome was "page turnaround time", other outcomes were usage data and survey responses. The surveys focused on the efficiency, accuracy, satisfaction, and drawbacks of new integrated smartphone communication app.

      Finding/Results: The primary outcome showed a reduction in turnaround time of pages sent from physicians to pharmacists form 5.5 minutes to 3 minutes. High priority page turnaround times from 18 minutes to 4 minutes with the new system. Physicians and switchboard operators were most receptive of the communication app, with 81% and 71.4% wishing to continue using the system. The convenience of only needing to carry one device was the most commonly reported positive aspect for physicians at 88.6%. 77% of Physicians reported that sending or receiving pages interrupts patient care “often” or “very often” before implementation, whereas only 23% responded this way after the communication application was implemented. spina smartphone primary.jpg spina chart.jpg

      Conclusion/Implications/Recommendations: Formally, evaluating objective outcomes when implementing technology is essential to appreciate the impact and value of technology on clinical practice. The results of this project provides sufficient evidence to continue the implementation of the secure communication solution. The implications of this project has been the design and implementation of a large communcation project to minimize the communcation gap between acute and community care clinicians during patient transfers.

      140 Character Summary: Award-winning research conducted by Island Health proved that a secure and integrated smartphone applications can improve clinical communication and workflow

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