• Characterization of Secure Mes...

Treffer: Characterization of Secure Message Use in a Children's Hospital.

Title:
Characterization of Secure Message Use in a Children's Hospital.
Authors:
DeChalus A; Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.; Clinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Pennsylvania.; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Luo B; Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.; Clinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Pennsylvania.; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.; Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Pennsylvania., Khan A; Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Pennsylvania., Tomlinson AZ; Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Pennsylvania., Bonafide C; Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Pennsylvania.; Clinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Pennsylvania.; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Ruppel H; Clinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Pennsylvania.; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Source:
Hospital pediatrics [Hosp Pediatr] 2026 Jan 01; Vol. 16 (1), pp. e18-e23.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE
Imprint Name(s):
Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics
Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine
MeSH Terms:
Hospitals, Pediatric*/statistics & numerical data , Computer Security*/statistics & numerical data, Humans ; Child ; Text Messaging/statistics & numerical data
Comments:
Comment in: Hosp Pediatr. 2026 Jan 1;16(1):e39-e41. doi: 10.1542/hpeds.2025-008959.. (PMID: 41391484)
References:
Appl Clin Inform. 2019 May;10(3):471-478. (PMID: 31242514)
J Patient Saf. 2022 Mar 1;18(2):130-137. (PMID: 35188927)
J Med Internet Res. 2023 Oct 6;25:e48583. (PMID: 37801359)
J Hosp Med. 2020 Jun;15(6):378-380. (PMID: 31532741)
JAMA Netw Open. 2023 Dec 1;6(12):e2349136. (PMID: 38147337)
J Hosp Med. 2022 Nov;17(11):880-887. (PMID: 36036216)
JAMA Netw Open. 2024 Dec 2;7(12):e2447797. (PMID: 39630450)
JAMA Netw Open. 2024 Jun 3;7(6):e2417781. (PMID: 38900428)
J Patient Saf. 2022 Mar 1;18(2):e542-e546. (PMID: 34009871)
J Hosp Med. 2024 Dec;19(12):1131-1137. (PMID: 39033420)
J Am Med Inform Assoc. 2019 Apr 1;26(4):339-355. (PMID: 30689893)
Grant Information:
R18 HS029473 United States HS AHRQ HHS; T32 HD060550 United States HD NICHD NIH HHS
Entry Date(s):
Date Created: 20251214 Date Completed: 20251231 Latest Revision: 20260101
Update Code:
20260101
PubMed Central ID:
PMC12707583
DOI:
10.1542/hpeds.2025-008538
PMID:
41391482
Database:
MEDLINE

Weitere Informationen

Objectives: Secure messaging is an increasingly common mode of communication among hospital-based clinicians. The use of these systems in pediatric settings is poorly understood. We sought to describe secure message volume, message response time, and emoji reaction use in a large children's hospital.
Methods: We extracted 6 months of secure message data from staff working on 3 inpatient units of an urban tertiary care children's hospital. Using assignment data, we isolated secure message activity during clinical shifts on these 3 units to report message volume, message response time, and emoji reaction use by unit and clinical role. We performed statistical analysis to compare message metrics within units and secondary analysis for key role comparisons.
Results: A total of 2493 clinicians sent and read 2 848 677 secure messages during the study period. Physicians and advanced practice providers (APPs) providing direct front-line care had the highest message use, a median of 13.4 (IQR 9.9, 17.3) combined sent and received messages per hour. We found significant differences in message volume and time to read, respond, and react to messages across clinical roles within units (all P<0.001). Front-line clinicians across units had significant differences in secure message volume and response times. (P<0.001).
Conclusions: Front-line physicians and APPs experienced the highest message burden per person across all clinical roles. We demonstrated nearly immediate message read and response times. Additional study is needed to understand the effects of secure messaging on clinician well-being and patient safety.
(Copyright © 2026 by the American Academy of Pediatrics.)