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HL7 mFHAST Research & Development Environmental Scan

Speed and accuracy of text-messaging emergency department electrocardiograms from a small community hospital to a provincial referral center

An article from the Journal of Telemedicine and Telecare

From the results posted in PubMed: "A total of 298 patients (14.6%) had 409 EKGs performed and a total of 926 SMS were sent. 921 SMS (99.5%, 95% confidence interval (CI) 98.7-99.8%) arrived within two minutes with a median transmission time of nine seconds (interquartile range (IQR) 3-32 s). Between the gold standard original EKG, and the interpretation of the texted image, six out of 409 (1.5%, 95% CI 0.6-3.3%) had any differences recorded, across all 13 categories. Overall, the study cost 4.1 cents per texted image."

Study RegionCanada
OrganizationSt Paul's Hospital
Issue or ProblemTimely transmission of electrocardiograms from emergency departments
Tech MediumSMS
Technology DeviceMobile phones
mFHAST ImplicationAbility to use SMS effectively for transmission of electrocardiograms

More links

  • Link to original research articleSystematic text messaging of ED EKGs from a small community hospital to a referral center is a rapid, accurate, portable, and inexpensive method of data transfer. This may be a safe and effective strategy to communicate vital patient information.
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