Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Feb 4, 2019
Open Peer Review Period: Feb 7, 2019 - Mar 27, 2019
Date Accepted: Apr 4, 2019
(closed for review but you can still tweet)
The Use of Smart Devices by Care Providers in Emergency Departments: A Cross-Sectional Study
ABSTRACT
Background:
The use of smart devices (SD) by healthcare providers in care settings is a common practice nowadays. Such use is not restricted to applications related to the care of patients but often extends to personal calls and applications with frequent prompts and interruptions. This enhances the risk of distractions caused by SD in the hospital settings and raises concerns on service quality and patient safety. Such concerns are exacerbated in complex care settings like the Emergency Department (ED).
Objective:
This study measured the frequency and patterns of SD use among healthcare providers in the ED of a large academic health center in Lebanon. The perceived consequences of care providers on using SDs on the provider-provider communication and the care quality of patients in ED were further assessed. The study further examined the factors associated with the use of smart devices and measured the approval for regulating such use.
Methods:
The study was carried at the ED of an academic health center in Lebanon. The ED received the highest volume of patient visits in the country. Data was collected using a cross-sectional electronic survey sent to all ED healthcare providers (n=236). The target population included core ED faculty members, attending physicians, residents, medical students, and the nursing care providers.
Results:
Half of the target population responded to the questionnaire. A total of 85.6% of the respondents use one or more medical applications on their smart devices. The respondents believed that using the SD in the ED improved the coordination among the care team (81.6%) and that it was beneficial to patient care (78.9%). In addition, 41.1% of the respondents acknowledged they were distracted when using their SD for non-work purposes. Furthermore, 54.8% of the respondents acknowledged having witnessed their colleagues committed a near miss or an error due to the smart device-caused distractions. Regression analysis revealed that age and missing information due to using the SD are major predictors of committing an error at the ED (p<0.05). Interestingly, more than 40% of the respondents were significantly addicted to using SD and more than third of them felt the need to cut down on such use.
Conclusions:
The findings of this study make it imperative to safeguard the safety and wellbeing of patients, particularly in high intensity, high volume department such as the ED. Irrespective of the positive role the SD play in the healthcare process, the negative effects of its use mandate proper regulation. This is an ethical mandate taking into consideration the important consequences such use may have on care processes and outcomes.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.