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Implementing web-based ping-pong-type e-communication to enhance staff satisfaction, multidisciplinary cooperation, and clinical effectiveness
- Source :
- Medicine. 95:e5236
- Publication Year :
- 2016
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2016.
-
Abstract
- BACKGROUND Frequent multidisciplinary communication is essential in conducting daily radiotherapy (RT) practice. However, traditional oral or paper-based communication has limitations. E-communication has been suggested, but its effects are still not well demarcated in the field of radiation oncology. OBJECTS In our web-based integrated information platform, we constructed a ping-pong-type e-communication function to transfer specific notations among multidisciplinary RT staffs. The purpose was to test whether applying this e-communication can increase effectiveness of multidisciplinary cooperation when compared with oral or paper-based practice. Staff satisfaction and clinical benefits were also demonstrated. DESIGN AND SETTING A real-world quality-improving study was conducted in a large center of radiation oncology. PARTICIPANTS AND DATASET USED Before and after applying multidisciplinary e-communication (from 2014 to 2015), clinical RT staffs were surveyed for their user experience and satisfaction (n = 23). For measuring clinical effectiveness, a secondary database of irradiated head and neck cancer patients was re-analyzed for comparing RT toxicities (n = 402). INTERVENTIONS Applying ping-pong-type multidisciplinary reflective e-communication was the main intervention. OUTCOME MEASURES For measuring staff satisfaction, eight domains were surveyed, such as timeliness, convenience, and completeness. For measuring clinical effectiveness of multidisciplinary cooperation, event rates of severe (i.e., grade 3-4) RT mucositis and dermatitis were recorded. RESULTS Overall, when compared with oral communication only, e-communication demonstrated multiple benefits, particularly on notation-review convenience (2.00 ± 1.76 vs 9.19 ± 0.81; P
- Subjects :
- medicine.medical_specialty
Teamwork
Quality management
business.industry
media_common.quotation_subject
Psychological intervention
MEDLINE
Retrospective cohort study
General Medicine
medicine.disease
03 medical and health sciences
0302 clinical medicine
Multidisciplinary approach
030220 oncology & carcinogenesis
Family medicine
Mucositis
Physical therapy
Medicine
Job satisfaction
030212 general & internal medicine
business
media_common
Subjects
Details
- ISSN :
- 00257974
- Volume :
- 95
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi...........3b8daa1f3e4afad3b5a34e57452c8d2a