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Texting is caring: a content analysis of clinical text messages by hospitalists
BACKGROUND: Clinical texting systems (CTS) are widely used in hospitals for team communication about patients. With more institutions adopting such systems, there is a need to understand how texting is being used in clinical practice. METHODS: We conducted content analysis of 809 randomly selected m...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10462975/ https://www.ncbi.nlm.nih.gov/pubmed/37640477 http://dx.doi.org/10.1136/bmjoq-2023-002385 |
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author | Donnelly, Claire Elyse Flores, Perla L Weiner, Michael Kara, Areeba Y Lee, Joy L |
author_facet | Donnelly, Claire Elyse Flores, Perla L Weiner, Michael Kara, Areeba Y Lee, Joy L |
author_sort | Donnelly, Claire Elyse |
collection | PubMed |
description | BACKGROUND: Clinical texting systems (CTS) are widely used in hospitals for team communication about patients. With more institutions adopting such systems, there is a need to understand how texting is being used in clinical practice. METHODS: We conducted content analysis of 809 randomly selected message threads sent to and from hospitalists in a 9-month window. The process, purpose and content of messages were analysed. We also examined messages for personal content (to identify whether CTS was being used for professional matters) and discussion of near miss errors. The risk levels of these near misses were also assessed. RESULTS: Most messages focused on clinical management of patient needs (62%; n=498) and functioned to provide a notification or update regarding clinical care (64%; n=518) or make a request of the recipient (63%; n=510). Personal content was infrequent in message threads (10%; n=80). Five per cent (n=38) of message threads included discussion of a near miss, and most near misses posed low clinical risk overall (66%; n=25). CONCLUSION: Most CTS communication centred around direct clinical management. Fewer messages were focused on non-clinical areas such as administrative tasks or personal communication. Further examination of care delivery, error communication and the consequences of the care discussed in messages would help clinical leaders understand the impact of clinical texting on teamwork and quality of care. |
format | Online Article Text |
id | pubmed-10462975 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104629752023-08-30 Texting is caring: a content analysis of clinical text messages by hospitalists Donnelly, Claire Elyse Flores, Perla L Weiner, Michael Kara, Areeba Y Lee, Joy L BMJ Open Qual Original Research BACKGROUND: Clinical texting systems (CTS) are widely used in hospitals for team communication about patients. With more institutions adopting such systems, there is a need to understand how texting is being used in clinical practice. METHODS: We conducted content analysis of 809 randomly selected message threads sent to and from hospitalists in a 9-month window. The process, purpose and content of messages were analysed. We also examined messages for personal content (to identify whether CTS was being used for professional matters) and discussion of near miss errors. The risk levels of these near misses were also assessed. RESULTS: Most messages focused on clinical management of patient needs (62%; n=498) and functioned to provide a notification or update regarding clinical care (64%; n=518) or make a request of the recipient (63%; n=510). Personal content was infrequent in message threads (10%; n=80). Five per cent (n=38) of message threads included discussion of a near miss, and most near misses posed low clinical risk overall (66%; n=25). CONCLUSION: Most CTS communication centred around direct clinical management. Fewer messages were focused on non-clinical areas such as administrative tasks or personal communication. Further examination of care delivery, error communication and the consequences of the care discussed in messages would help clinical leaders understand the impact of clinical texting on teamwork and quality of care. BMJ Publishing Group 2023-08-28 /pmc/articles/PMC10462975/ /pubmed/37640477 http://dx.doi.org/10.1136/bmjoq-2023-002385 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Donnelly, Claire Elyse Flores, Perla L Weiner, Michael Kara, Areeba Y Lee, Joy L Texting is caring: a content analysis of clinical text messages by hospitalists |
title | Texting is caring: a content analysis of clinical text messages by hospitalists |
title_full | Texting is caring: a content analysis of clinical text messages by hospitalists |
title_fullStr | Texting is caring: a content analysis of clinical text messages by hospitalists |
title_full_unstemmed | Texting is caring: a content analysis of clinical text messages by hospitalists |
title_short | Texting is caring: a content analysis of clinical text messages by hospitalists |
title_sort | texting is caring: a content analysis of clinical text messages by hospitalists |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10462975/ https://www.ncbi.nlm.nih.gov/pubmed/37640477 http://dx.doi.org/10.1136/bmjoq-2023-002385 |
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