Table 3 Solutions to the App barriers

Barrier

Possible solutions

Device-related

Use an appropriate screen size.

Use a pocket-size device for nurses so they can carry it all the times.

Provide internet for all devices used.

Run the App offline.

Provide sufficient devices.

Have spare batteries.

Use a unique and high-volume ringtone for code activation and assign different tones to different tasks.

Time-consuming

Using a bar-code reader to register patients in the App and capture their name, medical registration number (MRN), and age.

Update stakeholders information daily so it will be captured automatically once the user logs in.

Acceptability

Orientation and good training.

Regular meetings so everybody is knowledgeable.

Data

Have a backup service.

Have another standby plan for code activation.

Restrict App access to the authorized staff only.

Include a data retrieval function.

Code patient data when transmitting information to the team.

Provide each user with a password and request it to be changed every three months.

Have the ability to review who has access to patient data.

Missing query cases

The ER consultant is the one who should receive the ECG, not interns or residents.

The ER consultant should communicate immediately for query cases.