Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams

Holden, Richard J.; Binkheder, Samar; Patel, Jay; Viernes, Sara Helene P.

doi:10.1055/s-0038-1626724

Cited by 10 publications

(6 citation statements)

References 53 publications

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“…Those who have attempted such collaborations are aware of the methodological and cultural misalignment or divergent goals between Human-Computer Interaction technologists and clinicians [ 65 , 69 ]. Strategies to overcome these collaboration challenges include structured communication and the involvement of a multilinguistic (symphonic) conductor , a person who has learned “each team member’s discipline- or profession-specific values, norms, practices, vocabularies, theories, and methods to coordinate and translate between dissimilar members” [ 70 ].…”

Section: Resultsmentioning

confidence: 99%

Untold Stories in User-Centered Design of Mobile Health: Practical Challenges and Strategies Learned From the Design and Evaluation of an App for Older Adults With Heart Failure

Cornet¹,

Toscos²,

Bolchini³

et al. 2020

JMIR Mhealth Uhealth

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Background User-centered design (UCD) is a powerful framework for creating useful, easy-to-use, and satisfying mobile health (mHealth) apps. However, the literature seldom reports the practical challenges of implementing UCD, particularly in the field of mHealth. Objective This study aims to characterize the practical challenges encountered and propose strategies when implementing UCD for mHealth. Methods Our multidisciplinary team implemented a UCD process to design and evaluate a mobile app for older adults with heart failure. During and after this process, we documented the challenges the team encountered and the strategies they used or considered using to address those challenges. Results We identified 12 challenges, 3 about UCD as a whole and 9 across the UCD stages of formative research, design, and evaluation. Challenges included the timing of stakeholder involvement, overcoming designers’ assumptions, adapting methods to end users, and managing heterogeneity among stakeholders. To address these challenges, practical recommendations are provided to UCD researchers and practitioners. Conclusions UCD is a gold standard approach that is increasingly adopted for mHealth projects. Although UCD methods are well-described and easily accessible, practical challenges and strategies for implementing them are underreported. To improve the implementation of UCD for mHealth, we must tell and learn from these traditionally untold stories.

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Section: Resultsmentioning

confidence: 99%

Untold Stories in User-Centered Design of Mobile Health: Practical Challenges and Strategies Learned From the Design and Evaluation of an App for Older Adults With Heart Failure

Cornet¹,

Toscos²,

Bolchini³

et al. 2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…Furthermore, healthcare professionals encounter various problems when collaborating in clinical practice and conducting regular multidisciplinary team meetings needs considerable investment of time and finances. In recent times, health informatics have been developed as an integrating factor for academic professionals to work as inter-professional healthcare teams for better practices and overall management of patients 20 . We also suggest implying modern health informatics system at our settings to tackle these problems.…”

Section: Discussionmentioning

confidence: 99%

Level of Errors, Change in Diagnosis and Their Impact on Management in Cases Referred for Second Opinion

Anwar

Asif

Ahmed

et al. 2021

PAFMJ

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Objective: To determine the frequency of change in diagnosis and level of errors in cases referred to Armed Forces Institute of Pathology for second opinion and their impact on modifications of treatment and prognosis. Study Design: Cross sectional study. Place and Duration of Study: Department of Histopathology, Armed Forces Institute of Pathology, Rawalpindi, form Mar to Oct 2017 Methodology: All the cases referred for review diagnosis were tested by applying panel of immunohistochemical markers and special stains on formalin fixed paraffin embedded tissue sections as decided on morphology. Level of errors were defined as level I error: minor discrepancy with no impact on management, level II: minor discrepancy with impact on management, level III: main category remains same but there was change/confirmation of specific diagnostic entity with an impact on management and level IV: gross changes in diagnosis with significant impact on management. Level IV was further subdivided into IV a: benign misdiagnosed as malignant, IV b: malignant misdiagnosed as benign and IV c: changes in tumor subtype. Results: A total of 100 cases, where review diagnosis was changed were included. Minor discrepancies (level I and level II) were observed in only 7% cases with little or no impact on the management. Most frequent discrepancy observed as Level III in 75% cases. Major discrepancy (Level IV errors) was noted in 18% cases. Conclusion: There were high discrepancy rates between previous diagnosis and review diagnosis. The higher use of extended panels of immunohistochemistry markers were the most likely explanations.

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“…8 20 The delivery of high quality patient care relies on the ability of interdisciplinary teams to work together to achieve patient goals and improve patient outcomes. 4 6 8 16 21 22 23 24 Each discipline involved in a patient's care is mutually dependent on the other. 21 23 25…”

Section: Background and Significancementioning

confidence: 99%

“…8,20 The delivery of high quality patient care relies on the ability of interdisciplinary teams to work together to achieve patient goals and improve patient outcomes. 4,6,8,16,[21][22][23][24] Each discipline involved in a patient's care is mutually dependent on the other. 21,23,25 An interesting and pervasive consequence of the EHR is its change to communication and interprofessional practice amongst clinicians.…”

Section: Background and Significancementioning

confidence: 99%

The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

et al. 2022

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Background Interprofessional practice and teamwork are critical components to patient care in a complex hospital environment. The implementation of electronic health records (EHRs) in the hospital environment has brought major change to clinical practice for clinicians which could impact interprofessional practice. Objectives The aim of the study is to identify, describe, and evaluate studies on the effect of an EHR or modification/enhancement to an EHR on interprofessional practice in a hospital setting. Methods Seven databases were searched including PubMed, Scopus, Web of Science, CINAHL, Cochrane, EMBASE, and ACM Digital Library until November 2021. Subject heading and title/abstract searches were undertaken for three search concepts: “interprofessional” and “electronic health records” and “hospital, personnel.” No date limits were applied. The search generated 5,400 publications and after duplicates were removed, 3,255 remained for title/abstract screening. Seventeen studies met the inclusion criteria and were included in this review. Risk of bias was quantified using the Quality Assessment Tool for Studies with Diverse Designs. A narrative synthesis of the findings was completed based on type of intervention and outcome measures which included: communication, coordination, collaboration, and teamwork. Results The majority of publications were observational studies and of low research quality. Most studies reported on outcomes of communication and coordination, with few studies investigating collaboration or teamwork. Studies investigating the EHR demonstrated mostly negative or no effects on interprofessional practice (23/31 outcomes; 74%) in comparison to studies investigating EHR enhancements which showed more positive results (20/28 outcomes; 71%). Common concepts identified throughout the studies demonstrated mixed results: sharing of information, visibility of information, closed-loop feedback, decision support, and workflow disruption. Conclusion There were mixed effects of the EHR and EHR enhancements on all outcomes of interprofessional practice, however, EHR enhancements demonstrated more positive effects than the EHR alone. Few EHR studies investigated the effect on teamwork and collaboration.

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Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams

Cited by 10 publications

References 53 publications

Untold Stories in User-Centered Design of Mobile Health: Practical Challenges and Strategies Learned From the Design and Evaluation of an App for Older Adults With Heart Failure

Untold Stories in User-Centered Design of Mobile Health: Practical Challenges and Strategies Learned From the Design and Evaluation of an App for Older Adults With Heart Failure

Level of Errors, Change in Diagnosis and Their Impact on Management in Cases Referred for Second Opinion

The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

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