Social Media in Anesthesia Practice Thomas S. Davis, CRNA Chief CRNA, Scott & White Medical Center Main OR [email protected]
Transcript
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Thomas S. Davis, CRNA Chief CRNA, Scott & White Medical
Center Main OR [email protected]
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I think that email will explode in the future Bill Gates,
1992
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Agenda Types of Social Media Current use Future use Dangers
Developing a policy Developing your own personal social media.
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What is Social Media? Social media refers to the means of
interactions among people in which they create, share, and exchange
information and ideas in virtual communities and networks. Internet
based applications Allow creation and exchange of user generated
content Use mobile and web based platforms Allows real time
exchanges of information within and between individuals and
groups
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Importance of Social Media 51% of people aged 2534 used social
networking in the office, more than any other age group People
continue to spend more time on social networks than any other
category of sites20% of their time spent on PCs and 30% of their
mobile time As of 2012, Facebook has 152,226,000 unique PC visitors
and 78,388,000 unique mobile app visitors. Twitter reported
37,033,000 unique PC visitors and 22,620,000 unique mobile app
visitors. Total time spent on social media in the U.S. across PCs
and mobile devices increased 37 percent to 121 billion minutes in
July 2012, compared to 88 billion in July 2011 Social Media Report,
2012, Nielsen,
http://blog.nielsen.com/nielsenwire/social/2012/
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Comparison Published Media Social Media Quality standards by
publisher Subscription / Mailing Production is complex Time lag
between creating and publishing Once printed can not be altered
Quality determined by individual Available world wide Can be posted
immediately Can be altered instantly
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Web Based Traditional Web Sites URL identifies the type of
site.com /.edu /.net /.gov /.org Share information with a public or
private group Marketing Product information Sales Social
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Mobile Devices Devices that connect to the internet or to each
other using traditional internet technology or mobile apps. Phones
Pads Notebooks Wireless laptops Allow real time access to
information in any location
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Twitter was created in March 2006 by Jack Dorsey and by July,
the social networking site was launched. Over 500 million
registered users as of 2012 Generates over 340 million tweets daily
Handles over 1.6 billion search queries per day
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Gossip or Useful Tool? Phil Baumann, 140 Health Care Uses for
Twitter
http://philbaumann.com/2009/01/16/140-health-care-uses-for-twitter/
Twitter may either be the greatest prank ever played on the
internet community or it may be the best thing since sliced
bread
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Health Care Uses for Twitter Epidemiological survey Disaster
alerting and response Emergency response team management Supportive
care for patients and family members Alarming silent codes
(psychiatric emergencies, security incidents) Biomedical device
data capture and reporting Medical service collaboration in the
clinical setting Triage management in emergency rooms Publishing
health-related news
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Health Care Uses for Twitter Reporting hospital staff injuries
Reporting medical device malfunctions Product safety alerts Pain
management Patient-sharing of health-related experiences
Post-discharge patient consultations and follow-up care Discussing
HIPAA reform in the age of micro-sharing Recruitment of health care
staff
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Monitoring of Social Trends We analyzed over 500 million
Twitter messages from an eight month period and find that tracking
a small number of flu-related keywords allows us to forecast future
influenza rates with high accuracy, obtaining a 95% correlation
with national health statistics. Aron Coulotta, Columbia University
Library
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West, Texas
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Facebook Launched in 2004 As of September 2012, over 1 Billion
users Over half use mobile devices User must register and create a
profile May join user groups
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A National Cross-sectional survey of social networking
practices of U.S. Anesthesiology Residency Program Directors A.
Barker et al, Journal of Clinical Anesthesia 2012 Social media is a
staple of American culture especially among younger generations.
Users are able to generate content Professional and personal lives
can become blurred Patient confidentiality can be compromised Only
30.3% of Residency Programs have Social Media Policies
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The Intersection of Online Social Networking with Medical
Professionalism Thompson, LA et al, J Gen Intern Med 2008 Among
Medical Residents 44.5% Frequently use Facebook 83% of accounts had
personally identifiable information 70% of accounts describe
alcohol use or excessive drinking.
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NEJM August 13, 2009
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In confirming this patient as my friend on Facebook, I was
merging my professional and personal lives. From my Facebook page,
Ms. Baxter could identify and reach anyone in my network of
friends, view an extensive collection of personal photographs, read
my personal blog, and review notations that others had left on my
wall.
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Facebook in Medicine Communication Colleagues Patients
Education Pre/Post-Op Instruction DOS Informaton Marketing Services
Billing
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Caution: HIPAA Violations Must protect patient information and
dignity Revealing Personal Information Becoming a distracted
Healthcare worker. Violating Institutional policies and
trademarks
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Common Sense Dont discuss patients, even in general terms; its
not that hard for John Does friends to figure out who it is. Do
talk about conditions, treatments, research and best practices
without identifying patients. Identify yourself. Anonymity breeds
bad behavior. Dont post online anything you would not say in the
elevator. Use separate accounts for your personal and professional
lives. Dave Ekrem, The manager of web development and social media
for MassGeneral Hospital for Children
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When Your Fingers do the Walking, Where do they Walk?
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Education The more we use social media the more we understand
it Youtube can be a very valuable classroom aid. Pre-recording the
key points and references allows students to prepare for class USA
Today 3/14/12
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PreOp.com 503 YouTube videos All aspects of Surgery are
presented Pre-op anesthesia teaching Interview General Spinal /
Epidural OB
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Patient Education The main reason I wanted to do this was for
the educational possibilities. I spend a lot of my time with
patients on what to expect and what the steps are, Kim said. A lot
of anxious patients want to know exactly what happens. With this
they will be able to see what happens.
http://www.huffingtonpost.com/2012/05/08/houston-hospital-live-tweet-brain-surgery_n_1500751.html
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Visalia California Hospital District District ordered 100 iPads
for employees X-Ray images ECG Patient monitoring "This is going to
make my day easier and patient safety better," Roger Haley, a
kidney specialist at the hospital, said in an interview with a
local ABC News station. "Now, I don't have to find a workstation to
do what I need to do; I do it right there, right then, right now."
http://mashable.com/2010/04/21/hospital-purchases-100-ipads/
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Steps You Can Take to Secure Your Mobile Devices Draft a Mobile
device policy Who may access Which information may be accessed
Which devices may be used Follow organization's policy List
specific security requirements Know your IT security officer