{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:57:41Z","timestamp":1790539061641,"version":"4.1.0"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"5","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Western Journal of Emergency Medicine"],"abstract":"<p>Introduction: Effective communication in the emergency department (ED) is essential for safe patient care. Electronic health record (EHR)-integrated secure messaging may improve communication workflows, but limited evidence exists comparing clinician satisfaction across modalities in the ED. This study evaluated physician satisfaction with an EHR-integrated secure messaging tool compared to existing communication methods for non-emergent communication. Methods: We conducted an electronic pre-post survey study at an urban academic ED following implementation of an EHR-integrated secure messaging tool in October 2024. The primary outcome was overall communication satisfaction pre-post implementation. We also compared nursing communication satisfaction and repeat consult order proportions. Survey domains (ease of use, efficiency, timeliness, clarity, overall satisfaction) were graded using a four-point forced-choice Likert scale. Results: Response rates were 35% (33\/95) pre-implementation and 36% (34\/95) post-implementation. Although face-to-face communication maintained superior clarity ratings, secure chat received significantly higher overall satisfaction than phone communication (median 3 [IQR 3\u20134] vs 2 [2\u20133], P &amp;lt; .001) and higher ratings than the existing consult workflow across all domains (all P \u2264 .03). Overall nursing communication satisfaction shifted toward higher scores post-implementation (median 3 [3\u20134] vs 3 [2\u20133], P = .03). Repeat consult order proportion decreased from 22% to 18% (risk difference, \u22123.5%; 95% CI, \u22124.5% to \u22122.5%; P &amp;lt; .001). Conclusion: Electronic health record-integrated secure messaging demonstrated high user satisfaction among emergency physicians and may reduce repeat consultant communications. Secure chat provides a complementary communication channel in the ED setting.<\/p>","DOI":"10.5811\/westjem.53220","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:39:04Z","timestamp":1790296744000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of Secure Electronic Health Record Chat on Physician Communication in the Emergency Department"],"prefix":"10.5811","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-2397","authenticated-orcid":false,"given":"Michaela","family":"Go","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Alshamrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6453-9739","authenticated-orcid":false,"given":"Obert","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0217-6612","authenticated-orcid":false,"given":"Steven","family":"McGaughey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2026,9,24]]},"container-title":["Western Journal of Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt9z01f8vv\/qt9z01f8vv.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:29:18Z","timestamp":1790537358000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9z01f8vv"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,9,24]]}},"URL":"https:\/\/doi.org\/10.5811\/westjem.53220","relation":{},"ISSN":["1936-9018"],"issn-type":[{"value":"1936-9018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]}}}