Secure smartphone application-based text messaging in emergency department, a system implementation and review of literature

Pourmand, Ali; Roberson, Jeffrey L.; Gallugi, Amanda; Sabha, Youssef; O’Connell, Francis

doi:10.1016/j.ajem.2018.06.067

Cited by 17 publications

(27 citation statements)

References 28 publications

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“…Smart-phone use and privacy issues have been reviewed and discussed in various settings, with particular concern for HIPAA compliance in securing protected health information. 19,20 In a 2016 study, only about 5% of residents in training at that time "often" or "routinely" used Health Insurance Portability and Accountability Act (HIPAA)compliant smart-phone applications for patient interactions. 21 While popular video-communication media such as WhatsApp are encrypted, many are not HIPAA compliant.…”

Section: Discussionmentioning

confidence: 99%

Patient Interest in Video Integration for After-Hours Telemedicine

2020

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Purpose: To understand patient attitudes, access toward video calling to enhance efficiency of afterhours triage calls. Methods: We surveyed patients aged 18 to 89 years. Questions included demographics, preferences, access to video calling devices, and perceived advantages and disadvantages of this technology. Answers were entered into Qualtrics database and analyzed using JMP 11 (SAS, Cary, NC). Results: Two hundred ninety-eight patients agreed to participate. Mean age was 47.9 years; 71.6% were female; and 75.1% had access to video calling device. Device proficiency was inversely related to age and greatest in 18-to-32-years group (x 2 = 71.18, P < .0001). Seventy-one percent of patients enjoyed video communication, directly proportional to education (trend test Z = 2.78, P < .005). Adjusted for both age and education, respondents with college education or above were 3 times more likely to self identify as "good' with video (OR, 3.11; 95% CI, 1.48-6.64); those under age 48 had even higher proficiency (Odds ratio (OR), 13.9; 95% CI, 4.79-59.34). Patients with prior video experience were 3 times more likely to prefer video calling (Relative risk (RR) = 3.46; 95% CI, 1.95-6.11). Patients calling their doctor 5 or more times annually preferred video calling significantly more than calling by telephone (RR, 1.61; 95% CI, 1.31-1.97). Faster contact with the primary care provider (19.8%) was the most perceived advantage. Loss of in-person interaction with doctor (37.1%) was the greatest perceived disadvantage. Conclusions: Patients seem to have access and interest in video communication for after-hours calls. Further studies are needed to evaluate whether addition of video component to after-hours triage calls will help reduce unnecessary emergency department visits.

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Section: Discussionmentioning

confidence: 99%

Patient Interest in Video Integration for After-Hours Telemedicine

2020

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“…Os benefícios adicionais do WhatsApp incluem a capacidade de criar mensagens de grupo, permitindo melhor comunicação da equipe, revisão de conversas na saída e opiniões adicionais sobre casos e gerenciamento de pacientes 1,16 .…”

Section: Discussionunclassified

“…As mensagens são criptografadas e o acesso ao aplicativo é protegido por senha. Esse recurso tem sido utilizado no espaço de trabalho da área de saúde, demonstrando aumentar a responsabilidade, melhorar a eficiência, a integração do fluxo de trabalho e a satisfação geral 1 . Há outro aplicativo disponível no mercado, o Vocera, para comunicação intra-hospitalar, seguro e com privacidade dos dados compartilhados 17 .…”

Section: Discussionunclassified

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Comunicação eletrônica entre profissionais de saúde na assistência ao paciente: revisão integrativa

2019

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Objetivo: Analisar a literatura científica a respeito da comunicação por meios eletrônicos entre profissionais de saúde. Método: Revisão integrativa da literatura, realizada nas bases de dados e/ou portais PubMed, Biblioteca Virtual em Saúde e Cochrane, até agosto de 2018, com descritores combinados, que respondem à pergunta norteadora: “Como ocorre a comunicação eletrônica entre os profissionais de saúde na assistência ao paciente?. Resultados: Seis artigos foram incluídos, publicados de 2011 a 2016, no idioma Inglês. Os recursos foram smartphone, pager e tablet. Os aplicativos utilizados foram WhatsApp, Medigram e Serviço de Mensagens Curtas (SMS). Agilidade, facilidade de uso e auxílio na tomada de decisão foram as vantagens encontradas no uso desse recurso na comunicação dos profissionais; dentre as desvantagens estão ausência de privacidade e de confidencialidade das informações, interrupções na assistência e inabilidade no uso do recurso tecnológico. Conclusão: O uso de aplicativos para troca de mensagens e comunicação interdisciplinar de fato proporciona agilidade na comunicação, mas a confidencialidade desses dados ainda é uma questão a ser tratada. Assim, cabe ao enfermeiro conduzir a comunicação com os demais profissionais, preservando a privacidade do paciente.

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“…Indeed, the utilisation of smartphone-based technology and applications to streamline patient care has been used successfully in emergency department, neurosurgical referral service and orthopaedic surgery to improve the team communication efficiency. 5 Potentially, ear phones could reduce hearing ability inside the OR, but the use of a single ear piece set up to a transparency mode will provide balance between inside and outside voices, a new feature of the Airpods Pro ( figure 1E). A strong network signal must cover the entire OR area.…”

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confidence: 99%