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Herrod, P. J. J., Barclay, C. and Blakey, John (2014) 'Can mobile technology improve response times of junior doctors to urgent out-of-hours calls? A prospective observational study'. QJM, Vol 107, Issue 4, pp. 271-276.
Full text not available from this repository.Abstract
Background: The Hospital at Night system has been widely adopted to manage Out-of-Hours workload. However, it has the potential to introduce delays and corruption of information. The introduction of newer technologies to replace landlines, pagers and paper may ameliorate these issues.
Aim: To establish if the introduction of a Hospital at Night system supported by a wireless taskflow system affected the escalation of high Early Warning Scores (EWSs) to medical attention, and the time taken to medical review.
Design: Prospective ‘pre and post’ observational study in a teaching hospital in the UK.
Methods: Review of observation charts and medical records, and data extraction from the electronic taskflow system.
Results: The implementation of a technology-supported Hospital at Night system was associated with a significant decrease in time to documentation of initial review in those who were reviewed. However, there was no change in the proportion of those with a high EWS that were reviewed, and throughout the study a majority of patients with high EWSs were not reviewed in accordance with guidelines.
Conclusions: Introduction of a Hospital at Night system supported by mobile technology appeared to improve the transfer of information, but did not affect the nursing decision whether to escalate abnormal findings.
| Item Type: | Article |
|---|---|
| Subjects: | W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care WA Public Health > WA 20.5 Research (General) WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 203 Medical personnel. Interns. Staff manuals. Ward manuals and precedent books WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 215 Emergency service. Ambulance service |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1093/qjmed/hct242 |
| Depositing User: | Lynn Roberts-Maloney |
| Date Deposited: | 09 Sep 2014 09:26 |
| Last Modified: | 06 Feb 2018 13:07 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/4445 |
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