Replacing non-emergency bleeps and long-range pagers with a hospital-wide, EHR-integrated secure messaging system: an implementer report

Abstract

Introduction Obsolete bleep/long-range pager equipment remains firmly embedded in the NHS. Objective To introduce a secure, chart-integrated messaging system (Epic Secure Chat) in a large NHS tertiary referral centre to replace non-emergency bleeps/long-range pagers. Methods The system was socialised in the months before go-live. Operational readiness was overseen by an implementation group with stakeholder engagement. Cutover was accompanied by a week of Secure Chat and bleeps running in parallel. Results Engagement due to socialisation was high with usage stabilising approximately 3 months after go-live. Contact centre internal call activity fell significantly after go-live. No significant patient safety concerns were reported. Discussion Staff engagement and uptake was excellent. The majority of those who previously carried bleeps were content to use personal devices for messaging because of user convenience after reassurance about privacy. Conclusion An integrated secure messaging system can replace non-emergency bleeps with beneficial impact on service.

Competing Interest Statement

None at the time of implementation however AC will be leaving the role of Director of Digital at Cambridge University Hospitals in February 2023 to take up a post with Epic Systems Corporation.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.

Yes

Data Availability

Not applicable

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