Effects of a short text message reminder system on emergency department length of stay

2012 ◽  
Vol 81 (5) ◽  
pp. 296-302 ◽  
Author(s):  
Min Joung Kim ◽  
Joon Min Park ◽  
Sang Mo Je ◽  
Je Sung You ◽  
Yoo Seok Park ◽  
...  
2007 ◽  
Vol 122 (3) ◽  
pp. 296-298 ◽  
Author(s):  
M Geraghty ◽  
F Glynn ◽  
M Amin ◽  
J Kinsella

AbstractBackground:Non-attendance at out-patient clinics is a seemingly intractable problem, estimated to cost £65 (€97) per incident. This results in under-utilisation of resources and prolonged waiting lists. In an effort to reduce out-patient clinic non-attendance, our ENT department, in conjunction with the information and communication technology department, instigated the use of a mobile telephone short message service (‘text’) reminder, to be sent out to each patient three days prior to their out-patient clinic appointment.Objective:To audit non-attendance rates at ENT out-patient clinics following the introduction of a text reminder system.Study design:Retrospective review.Methods:Non-attendance at our institution's ENT out-patient clinics was audited, following introduction of a text message reminder system in August 2003. Rates of non-attendance were compared for the text message reminder group and a historical control group.Results:Before the introduction of the text message reminder system, the mean rate of non-attendance was 33.6 per cent. Following the introduction of the system, the mean rate of non-attendance reduced to 22 per cent.Conclusion:Sending text message reminders is a simple and cost-effective way to improve non-attendance at ENT out-patient clinics.


2013 ◽  
Vol 84 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Matthew Eppright ◽  
Bhavna Shroff ◽  
Al M. Best ◽  
Elvi Barcoma ◽  
Steven J. Lindauer

ABSTRACTObjective:To determine if text message reminders regarding oral hygiene compliance have an influence on the level of compliance within an orthodontic population.Materials and Methods:In this prospective, randomized, controlled clinical trial, 42 orthodontic patients were assigned to a text message or control group. Parents of patients assigned to the text message group received a reminder text message one weekday each week. Oral hygiene compliance was measured using bleeding index (BI), modified gingival index (MGI), and plaque index (PI), and visual examination of white spot lesion (WSL) development at baseline (T0), two appointments after baseline (T1), and four appointments after baseline (T2).Results:BI, MGI, and PI scores were significantly lower in the text message group than in the control group at T2.Conclusion:A text message reminder system is effective for improving oral hygiene compliance in orthodontic patients.


2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Zeleke Abebaw Mekonnen ◽  
Fedlu Nurhussien Hussien ◽  
Binyam Chakilu Tilahun ◽  
Kassahun Alemu Gelaye ◽  
Adane Letta Mamuye

Introduction: Non-attendance and delay for vaccination schedules remains a big challenge to healthcare workers.  Among the frequently mentioned reasons for missed vaccination in children is the lack of communication between child caretakers and health workers. This necessitates developing an appropriate and uninterrupted vaccine delivery strategy with more focus on demand side interventions like forgetfulness.Objectives: This paper aimed to develop and test an automated mobile text message reminder system in the local context.Methods: Before development of the system, interview and document reviews were used for requirement gathering. This system is developed using iterative development process through phases of requirement analysis, design, development, testing and refinement. Front end application was developed using Java technologies while back end applications were developed with Oracle database. Finally, pilot testing was done on 30 participants before actual implementation.Results: The automated system has been developed based on requirements. The text message reminder system has two components: 1. Web based application for client registration and automatic reminder scheduling; 2.SMS application for automatic SMS text messaging. In the final testing, all the messages (100%) were delivered to the piloted mothers. Message speeds for each individual client ranged on average from 5 second to 30 seconds.Conclusion: Text message reminder system has been developed for routine childhood immunization program in Ethiopian context. Text message interventions should be carefully developed, tested and refined before implementation to ensure they are written in the most appropriate way for their target population.


2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Avinash Pandey

There is a high rate of medication non-adherence, which can lead to disease progression, disability andmortality. This study tested a novel computer-based text message reminder system to improve adherence to medications. This system proved effective in improving adherence to a placebo in healthy volunteers, and to medications in cardiac patients over a two month period. It was especially effective in individuals at prospectively identified to be at high risk of non-adherence. This system represents a simple and scalable method to improve adherence to medications at a clinical or pharmaceutical level. Further research into the impact of repeated reminders is necessary to explore the impacts of text message reminders in other populations and in other lifestyle interventions.Il y a un taux élevé de non-adhérence aux médicaments, ce qui peut provoquer la progression de la maladie, des handicaps et même la mortalité. Cette étude a vérifier un système de rappel fonctionnant par messagerie texte afin d’améliorer l’adhérence aux médicaments. Ce système a été prouvé efficace dans l’amélioration de l’adhérence à un placébo chez des sujets bénévoles, et à des médicaments chez des patients cardiaques, sur une période de 2 mois. Il était particulièrement efficace chez es individus identifiés comme ayant un risqué élevé de non-adhérence. Ce système représente une méthode simple et mesurable utilisée pour améliorer l’adhérence aux médicaments à un niveau pharmaceutique ou clinique. Des recherches plus poussées sur les conséquences de ces rappels répétés sont nécessaires afin d’explorer les impacts des rappels texte chez d’autres populations et dans d’autres interventions concernant les habitudes de vie.


2020 ◽  
Vol 9 (20) ◽  
Author(s):  
Akshay Pendyal ◽  
Craig Rothenberg ◽  
Jean E. Scofi ◽  
Harlan M. Krumholz ◽  
Basmah Safdar ◽  
...  

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real‐world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11‐year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST‐segment–elevation myocardial infarction (STEMI) and non‐STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence‐based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same‐hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%–31% and 10%–27%, respectively). Conclusions National, real‐world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high‐intensity antiplatelet therapy, early invasive strategies, and regionalization of care.


2021 ◽  
pp. 105477382199968
Author(s):  
Anas Alsharawneh

Sepsis and neutropenia are considered the primary life-threatening complications of cancer treatment and are the leading cause of hospitalization and death. The objective was to study whether patients with neutropenia, sepsis, and septic shock were identified appropriately at triage and receive timely treatment within the emergency setting. Also, we investigated the effect of undertriage on key treatment outcomes. We conducted a retrospective analysis of all accessible records of admitted adult cancer patients with febrile neutropenia, sepsis, and septic shock. Our results identified that the majority of patients were inappropriately triaged to less urgent triage categories. Patients’ undertriage significantly prolonged multiple emergency timeliness indicators and extended length of stay within the emergency department and hospital. These effects suggest that triage implementation must be objective, consistent, and accurate because of the several influences of the assigned triage scoring on treatment and health outcomes.


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