Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report

Introduction Obsolete bleep/long-range pager equipment remains firmly embedded in the National Health Service (NHS).Objective To introduce a secure, chart-integrated messaging system (Epic Secure Chat) in a large NHS tertiary referral centre to replace non-emergency bleeps/long-range pagers.Methods...

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Main Authors: Ewen Cameron, Justin Davies, James H F Rudd, Ari Ercole, Afzal Chaudhry, William Gelson, Claire Tolliday, Fiona Hamer
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Health & Care Informatics
Online Access:https://informatics.bmj.com/content/30/1/e100706.full
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author Ewen Cameron
Justin Davies
James H F Rudd
Ari Ercole
Afzal Chaudhry
William Gelson
Claire Tolliday
Fiona Hamer
author_facet Ewen Cameron
Justin Davies
James H F Rudd
Ari Ercole
Afzal Chaudhry
William Gelson
Claire Tolliday
Fiona Hamer
author_sort Ewen Cameron
collection DOAJ
description Introduction Obsolete bleep/long-range pager equipment remains firmly embedded in the National Health Service (NHS).Objective To introduce a secure, chart-integrated messaging system (Epic Secure Chat) in a large NHS tertiary referral centre to replace non-emergency bleeps/long-range pagers.Methods The system was socialised in the months before go-live. Operational readiness was overseen by an implementation group with stakeholder engagement. Cutover was accompanied by a week of Secure Chat and bleeps running in parallel.Results Engagement due to socialisation was high with usage stabilising approximately 3 months after go-live. Contact centre internal call activity fell significantly after go-live. No significant patient safety concerns were reported.Discussion Uptake was excellent with substantial utilisation well before cutover indirectly supporting high levels of engagement. The majority of those who previously carried bleeps were content to use personal devices for messaging because of user convenience after reassurance about privacy.Conclusion An integrated secure messaging system can replace non-emergency bleeps with beneficial impact on service.
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spelling doaj.art-bd1d092992184fc6b69407809b47d2982024-01-05T11:10:08ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092023-12-0130110.1136/bmjhci-2022-100706Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer reportEwen Cameron0Justin Davies1James H F Rudd2Ari Ercole3Afzal Chaudhry4William Gelson5Claire Tolliday6Fiona Hamer7Cambridge University Hospitals NHS Foundation Trust, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKEpic Systems Corporation, (previously eHospital), Epic Systems, The Core, St Thomas St, Bristol, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKIntroduction Obsolete bleep/long-range pager equipment remains firmly embedded in the National Health Service (NHS).Objective To introduce a secure, chart-integrated messaging system (Epic Secure Chat) in a large NHS tertiary referral centre to replace non-emergency bleeps/long-range pagers.Methods The system was socialised in the months before go-live. Operational readiness was overseen by an implementation group with stakeholder engagement. Cutover was accompanied by a week of Secure Chat and bleeps running in parallel.Results Engagement due to socialisation was high with usage stabilising approximately 3 months after go-live. Contact centre internal call activity fell significantly after go-live. No significant patient safety concerns were reported.Discussion Uptake was excellent with substantial utilisation well before cutover indirectly supporting high levels of engagement. The majority of those who previously carried bleeps were content to use personal devices for messaging because of user convenience after reassurance about privacy.Conclusion An integrated secure messaging system can replace non-emergency bleeps with beneficial impact on service.https://informatics.bmj.com/content/30/1/e100706.full
spellingShingle Ewen Cameron
Justin Davies
James H F Rudd
Ari Ercole
Afzal Chaudhry
William Gelson
Claire Tolliday
Fiona Hamer
Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
BMJ Health & Care Informatics
title Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
title_full Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
title_fullStr Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
title_full_unstemmed Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
title_short Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report
title_sort moving from non emergency bleeps and long range pagers to a hospital wide ehr integrated secure messaging system an implementer report
url https://informatics.bmj.com/content/30/1/e100706.full
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