Mp02-13 No Pager No Problems? Analysis of Clinical Messages Received by Urology Residents

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety I (MP02)1 May 2024MP02-13 NO PAGER NO PROBLEMS? ANALYSIS OF CLINICAL MESSAGES RECEIVED BY UROLOGY RESIDENTS Benjamin Pockros, Mdison Krischak, Amelia Khoei, Rebecca Howland, and Kristian Stensland Benjamin PockrosBenjamin Pockros , Mdison KrischakMdison Krischak , Amelia KhoeiAmelia Khoei , Rebecca HowlandRebecca Howland , and Kristian StenslandKristian Stensland View All Author Informationhttps://doi.org/10.1097/01.JU.0001008600.97797.3b.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Hospitals are transitioning from traditional paging technology to electronic medical record-based chat messaging among clinical staff. The impact of this updated technology has yet to be studied for surgical residents responsible for managing busy inpatient services throughout the day and overnight call shifts. This study seeks to quantify and characterize the messages received by urology residents during a three-month clinical period. METHODS: All messages received by Michigan Medicine Urology Inpatient Residents (n=8) between August 1, 2022, and October 31, 2022, were included in this retrospective study. Summary statistics included frequency of messages by time of day and gender of resident. All messages were reviewed by 1 of 4 reviewers to assess 1) appropriateness, 2) urgency, and 3) theme of each conversation based on a rubric of criteria from previously validated studies. RESULTS: Within a 3-month period, 6,863 messages were received by urology inpatient residents. An average of 17.0±6.8 conversations were received per day shift, compared to 12.7±6.4 conversations per on-call night shift. On average, female residents received more conversations per shift (15.6±3.4) compared to their male colleagues (13.4±2.7), p=0.05. Among all conversations received, 88.6% were considered clinically appropriate and 15.3% were considered urgent. The most common reason for messaging was a medication request (44.5%), followed by changes in patient condition (27.8%) and requesting team update on plan (18.2%). CONCLUSIONS: Residents managing the urology inpatient service receive dozens of clinical messages every shift. Messaging volume overnight is similar to daytime shifts, suggesting that overnight call may contribute to burnout, compromise work hour regulations, and increase risk for fatigue related safety events. Surgical departments interested in reducing resident burnout and improving wellbeing could explore strategies to reduce non-urgent messaging volume. Implementing artificial intelligence to triage messages may play a role in the future. Download PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e18 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Benjamin Pockros More articles by this author Mdison Krischak More articles by this author Amelia Khoei More articles by this author Rebecca Howland More articles by this author Kristian Stensland More articles by this author Expand All Advertisement PDF downloadLoading ...