UMEM Educational Pearls

Title: Can interruptions be helpful?

Category: Administration

Keywords: push notification, EMR, ED flow, results, radiology (PubMed Search)

Posted: 12/26/2024 by Steve Schenkel, MPP, MD (Updated: 12/28/2024)
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Clinical practice in the world of the Electronic Medical Record has made many a clinician question the value of electronic reminders. 

Banners warn of sepsis, the need for repeat evaluation, vital signs outside expected limits,  wait times, and risks for readmission.

Can they instead help ED flow?

Sayan Dutta and colleagues suggest that they can. When clinicians chose to receive notice of a lab or imaging result, push notification reduced time between final result and ED disposition by 18 minutes (95% CI: 15-21 minutes). 

The likely key here? Clinicians actively chose when and about what to be notified.

See: Result Push Notifications Improve Time to Emergency Department Disposition: A Pragmatic Observational Study, Annals of Emergency Medicine, 85(1), 53-62. https://www.annemergmed.com/article/S0196-0644(24)00404-9/abstract.

References

Result Push Notifications Improve Time to Emergency Department Disposition: A Pragmatic Observational Study
Dutta, Sayon et al.
Annals of Emergency Medicine, Volume 85, Issue 1, 53 - 62