التفاصيل البيبلوغرافية
| العنوان: |
Encrypted smartphone text messaging between spine surgeons may reduce after-hours surgery. |
| المؤلفون: |
Persad, Amit R., Rosalie, Mercure-Cyr, Spiess, Michael S., Allan, Woo, Zane, Tymchak, Adam, Wu, Luke, Hnenny, Fourney, Daryl R. |
| المصدر: |
European Spine Journal; Dec2022, Vol. 31 Issue 12, p3330-3336, 7p, 2 Charts, 1 Graph |
| مصطلحات موضوعية: |
SPINAL surgery, TEXT messages, SPINE, SURGEONS, SMARTPHONES, OPERATING rooms |
| مصطلحات جغرافية: |
MOUNTAIN View (Calif.) |
| الشركة/الكيان: |
WHATSAPP Inc. |
| مستخلص: |
Purpose: "After-hours" non-elective spine surgery is associated with increased morbidity. Decision-making may be enhanced by collaborative input from experienced local colleagues. At our center, we implemented routine use of a cross-platform messaging system (CPMS; WhatsApp Inc., Mountain View, California) to facilitate quality care discussions and collaborative surgical decision-making between spine surgeons prior to booking cases with the operating room. Our aim is to determine whether encrypted text messaging for shared decision-making between spine surgeons affects the number or type of after-hours spine procedures. Methods: We retrospectively compared the number, type and length of after-hours spine surgery over three time periods: (A) June 1, 2016–May 31, 2017 (baseline control); (B) June 1, 2017–May 31, 2018 (implementation of retrospective quality care spine rounds); and (C) June 1, 2018–May 31, 2019 (implementation of CPMS). A qualitative analysis of the CPMS transcripts was also performed to assess the rate of between-surgeon agreement for timing and type of procedure. Results: The mean number of after-hours spine surgeries/month over the three study periods (A, B, C) was 10.83, 9.75 and 7.58 (p = 0.014); length of surgery was 41.82, 33.14 and 25.37 h/month (p = 0.001). Group agreement with the attending spine surgeon plan was 74.3% overall and was highest for the most urgent and least urgent types of indications. Conclusions: Prospective (i.e., prior to booking surgery) quality care discussion for joint decision-making among spine surgeons using CPMS may reduce both the number and complexity of after-hours procedures. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
