Cognitive Disconnect and Information Overload: Electronic Health Record Use for Rounding and Handover Communications in a Pediatric Intensive Care Unit

Hum, R. Stanley

doi:10.1007/978-3-030-16916-9_18

Cited by 2 publications

(1 citation statement)

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“…Prescribing errors in PICUs have been found to relate to the increased cognitive demand required for completing tasks associated with prescribing medication [19]. In a tertiary care center with a mix of adult and pediatric patients, the providers must navigate through multiple electronic health record interfaces to complete a medication order leading to a cognitive disconnect and information overload [20].…”

Section: ["…Trauma Patient That Had Several Mds In the Room Calling O...mentioning

confidence: 99%

A Human Factors Approach for Event Analysis in a Pediatric Intensive Care Unit

Cohen

2023

J Paediatr Child Care

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Human Factors Analysis and Classification System for Healthcare; MIP, medication infusion pump; NM, near-miss; PICU, pediatric intensive care unit. interface [2,3]. A 2010 study [4] found that as many as 62% of PICU patients experienced at least one AE during their stay, where 10% were classified as life-threatening or permanent, and 45% were deemed preventable. A recent single centered study from Europe in 2020 found that of 842 patients admitted to the PICU, 142 (16.86%) experienced at least one AE during their stay, where 91.2% were considered preventable [5].

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Section: ["…Trauma Patient That Had Several Mds In the Room Calling O...mentioning

confidence: 99%

A Human Factors Approach for Event Analysis in a Pediatric Intensive Care Unit

Cohen

2023

J Paediatr Child Care

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Implementing the Verbal and Electronic Handover in General and Psychiatric Nursing Using the Introduction, Situation, Background, Assessment, and Recommendation Framework: A Systematic Review

Lazzari

2024

Iranian Journal of Nursing and Midwifery Research

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Background: Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) is currently the most popular framework for framing handovers. However, research shows that incomplete handovers and information transfers among healthcare providers and nurses exist and are responsible for adverse patient events. Materials and Methods: The current systematic review aims to view contemporary literature on handover, especially but not exclusively in psychiatric settings, and to extract current conditions from Electronic Patient Records (EPRs) using the ISBAR framework. A total of fifty-five scientific papers were selected to support the scoping review. Eligibility criteria included structured research to analyze outcomes, completed by reviewing policy papers and professional organization guidelines on I/SBAR handovers. Results: Our systematic review shows that the application of ISBAR increases interprofessional communication skills and confidence and the quality of the transfer of clinical information about patients, resulting in increased patient safety and quality of care. Conclusions: Implementing the knowledge and application of structured patient handover will respond to current recommendations for service improvement and quality of care. Furthermore, nurses who use ISBAR also reported its benefits as they feel they can deliver what is required for patient care information in a structured, fast, and efficient way. A further increase in the efficacy of handovers is reported by using EPR.

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Cognitive Disconnect and Information Overload: Electronic Health Record Use for Rounding and Handover Communications in a Pediatric Intensive Care Unit

Cited by 2 publications

References 50 publications

A Human Factors Approach for Event Analysis in a Pediatric Intensive Care Unit

A Human Factors Approach for Event Analysis in a Pediatric Intensive Care Unit

Implementing the Verbal and Electronic Handover in General and Psychiatric Nursing Using the Introduction, Situation, Background, Assessment, and Recommendation Framework: A Systematic Review

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