PURPOSE:The purpose of this study is to determine the speed and accuracy of paging systems at Bronson Methodist Hospital, a 380 bed community teaching hospital and level-1 trauma center in Southwest Michigan.
METHODS:A standard alphanumeric pager was obtained from the hospital telecommunications office and programmed with the pager number of one of the medical intensivists. Pages were sent to this device using the available modes of paging: direct paging via telephone, direct paging through the hospital intranet, or indirect paging through the hospital operator. All pages followed a standardized protocol. Pages were equally distributed throughout times of the day and days of the week. Time to pager activation was measured with a digital timer and the data was analyzed for accuracy and time to pager activation using ANOVA analysis.
RESULTS:A total of 407 pages were sent during the study period. There were no significant differences in paging accuracy or time to pager activation between days of the week or time periods during the day. However, compared to direct paging via telephone or intranet, indirect paging was significantly slower (40.1 ± 12.7 secs, 31.1 ± 13.1 secs, and 58.7 ± 26.2 secs respectively, p value < 0.0001). Furthermore the accuracy of paging through the hospital operator was significantly lower compared to direct paging via telephone or intranet (95% successful, 100% successful, and 100% successful respectively, p value 0.0015).
CONCLUSION:Neither time of day nor day of the week affected the speed or accuracy of paging at Bronson Methodist Hospital. However, compared to direct paging by telephone or intranet, indirect paging through the hospital operator was both slower and less successful.
CLINICAL IMPLICATIONS:In critical situations, when a health care provider needs to be contacted, direct paging is superior to indirect paging in both speed and accuracy.
DISCLOSURE:Joe Hillman, No Financial Disclosure Information; No Product/Research Disclosure Information