Utilizing technology to improve intraoperative family communication

Am J Surg. 2017 May;213(5):895-900. doi: 10.1016/j.amjsurg.2017.03.014. Epub 2017 Mar 27.

Abstract

Purpose: To create and assess satisfaction with an electronic-medical-record (EMR) integrated communication system designed to optimize perioperative communication with families.

Methods: We built a tool in the EMR's intraoperative nursing navigation screen for sending customized or standardized text pages to families in English or Spanish. Preoperatively, families were given text pagers with instructions and a hospital map to facilitate leaving the waiting area. After 6 months, Press-Ganey™ data and internal surveys from randomly selected families, and all nurses and surgeons were analyzed for satisfaction and effectiveness.

Results: Press-Ganey™ data demonstrated 30% improvement in patient satisfaction (p < 0.05). Among families, > 90% indicated pagers were easy to use and provided the desired information during surgery. Of nurses, >90% found the system easy to use and believed it improved families' experience. All surgeons reported improved intraoperative communication and ease of finding families postoperatively.

Conclusion: Perioperative family communication via EMR-integrated text improves efficiency and family, nurse, and surgeon satisfaction.

Keywords: Electronic medical record; Patient satisfaction; Perioperative communication; Technology.

MeSH terms

  • Attitude of Health Personnel
  • Electronic Health Records*
  • Health Care Surveys
  • Hospitals, Pediatric
  • Humans
  • Intraoperative Care / methods*
  • Oregon
  • Patient Satisfaction / statistics & numerical data
  • Professional-Family Relations*
  • Tertiary Care Centers
  • Text Messaging*