{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:51:03Z","timestamp":1776091863960,"version":"3.50.1"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"e1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,1]]},"abstract":"<jats:p>Communication in acute care settings is fragmented and occurs asynchronously via a variety of electronic modalities. Providers are often not on the same page with regard to the plan of care. We designed and developed a secure, patient-centered \u201cmicroblog\u201d messaging platform that identifies care team members by synchronizing with the electronic health record, and directs providers to a single forum where they can communicate about the plan of care. The system was used for 35% of patients admitted to a medical intensive care unit over a 6-month period. Major themes in messages included care coordination (49%), clinical summarization (29%), and care team collaboration (27%). Message transparency and persistence were seen as useful features by 83% and 62% of respondents, respectively. Availability of alternative messaging tools and variable use by non-unit providers were seen as main barriers to adoption by 83% and 62% of respondents, respectively. This approach has much potential to improve communication across settings once barriers are addressed.<\/jats:p>","DOI":"10.1093\/jamia\/ocw110","type":"journal-article","created":{"date-parts":[[2016,8,19]],"date-time":"2016-08-19T01:50:09Z","timestamp":1471571409000},"page":"e178-e184","source":"Crossref","is-referenced-by-count":25,"title":["A web-based and mobile patient-centered \u2018\u2018microblog\u2019\u2019 messaging platform to improve care team communication in acute care"],"prefix":"10.1093","volume":"24","author":[{"given":"Anuj K","family":"Dalal","sequence":"first","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"Harvard Medical School, Boston"}]},{"given":"Jeffrey","family":"Schnipper","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"Harvard Medical School, Boston"},{"name":"Partners HealthCare, 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