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A context-aware medical instant message middleware

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Abstract

Communication or the lack of it has been complained to be a major contributor to medical errors in healthcare. To enhance communication in hospital, diverse communication mechanisms are proposed. However, human directed communication in a complex clinical setting in which many people play diverse roles and need to collaborate in many parallel tasks is always in chaos and inefficient. Context-aware communication which can help target who should be communicated and what information should be provided for different scenarios has the potential to improve the communication in hospital. This paper proposes a flexible, automated and asynchronous context-aware medical instant message (IM) middleware which support dispatch, forward and routing different message to the right person in the right time based on the context information. A prototype of this IM communication middleware was implemented in real clinical setting for evaluation. The preliminary results demonstrate its novel features and clinical feasibility.

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References

  1. Kohn L T, Corrigan J M, Donaldson M S, et al. To err is human: Building a safer health system [M]. Constitution Avenue, Washington DC, USA: National Academies Press, 2000.

    Google Scholar 

  2. Wilson R M, Runciman W B, Gibberd R W, et al. The quality in Australian health care study [J]. Medical Journal of Australia, 1995, 163(9): 458–471.

    Google Scholar 

  3. Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: A systematic review [J]. Annals of Surgery, 2010, 252(2): 225–239.

    Article  Google Scholar 

  4. Moss J, Xiao Y. Improving operating room coordination: Communication pattern assessment [J]. Journal of Nursing Administration, 2004, 34(2): 93–100.

    Article  Google Scholar 

  5. Parl F F, O’Leary M F, Kaiser A B, et al. Implementation of a closed-loop reporting system for critical values and clinical communication in compliance with goals of the Joint Commission [J]. Clinical Chemistry, 2010, 56(3): 417–423.

    Article  Google Scholar 

  6. Iversen T B, Melby L, Toussaint P. Instant messaging at the hospital: Supporting articulation work? [J]. International Journal of Medical Informatics, 2013, 82(9): 753–761.

    Article  Google Scholar 

  7. Westbrook J I, Braithwaite J, Georgiou A, et al. Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory [J]. Journal of the American Medical Informatics Association, 2007, 14(6): 746–755.

    Article  Google Scholar 

  8. Cheng P H, Lai F, Lai J S. A service-oriented healthcare message alerting architecture in an asia medical center: A case study [J]. International Journal of Environmental Research and Public Health, 2009, 6(6): 1870–1881.

    Article  Google Scholar 

  9. Coiera E, Tombs V. Communication behaviours in a hospital setting: An observational study [J]. British Medical Journal, 1998, 316(7132): 673–676.

    Article  Google Scholar 

  10. Glascoe F P. Improving clinical communication: A view from psychology [J]. Ambulatory Child Health, 2001, 7(1): 53–60.

    Google Scholar 

  11. Valenstein P N, Wagar E A, Stankovic A K, et al. Notification of critical results: A college of American pathologists Q-probes study of 121 institutions [J]. Archives of Pathology & Laboratory Medicine, 2008, 132(12): 1862–1867.

    Google Scholar 

  12. Hasvold P E, Scholl J. Flexibility in interaction: Sociotechnical design of an operating room scheduler [J]. International Journal of Medical Informatics, 2011, 80(9): 631–645.

    Article  Google Scholar 

  13. Ratib O, Rosset A. Can PACS benefit from general consumer communication tools? [J]. International Congress Series, 2005, 1281: 948–953.

    Article  Google Scholar 

  14. Wang H J, Shi Y, Zhao D, et al. Automatic reminder system of medical orders based on Bluetooth [C]//The 7th International Conference on Wireless Communications, Networking and Mobile Computing. Piscataway, USA: IEEE, 2011: 1–4.

    Google Scholar 

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Correspondence to Xu-dong Lü  (吕旭东).

Additional information

Foundation item: the National High Technology Research and Development Program (863) of China (No. 2012AA02A601) and the National Science and Technology Major Project of China (No. 2013ZX03005012)

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Cheng, Hx., Min, Lt., Lü, Xd. et al. A context-aware medical instant message middleware. J. Shanghai Jiaotong Univ. (Sci.) 20, 113–117 (2015). https://doi.org/10.1007/s12204-015-1597-8

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  • DOI: https://doi.org/10.1007/s12204-015-1597-8

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