Information exchange between physicians and nurses

Tange, Huibert; Smeets, Ralf

doi:10.1016/0169-2607(94)90078-7

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…nursing communication, including medical errors and low staff satisfaction (Holm et al, 1996;Levorato, Stiefel, Mazzocato, & Bruera, 2001;McKnight, Stetson, Bakken, Curran, & Cimino, 2002;Tange & Smeets, 1994;Viney, 1996). Our literature search revealed no studies of medicine-nursing communication in skilled nursing facilities.…”

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confidence: 99%

Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science

et al. 2006

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Complexity science teaches that relationships among health care providers are key to our understanding of how quality care emerges. The authors sought to compare the effects of differing patterns of medicine-nursing communication on the quality of information flow, cognitive diversity, self-organization, and innovation in nursing homes. Two facilities participated in 6-month case studies using field observations, shadowing, and depth interviews. In one facility, the dominant pattern of communication was a vertical "chain of command" between care providers, characterized by thin connections and limited information exchange. This pattern limited cognitive diversity and innovation in clinical problem solving. The second facility used an open communication pattern between medical and frontline staff. The authors saw higher levels of information flow, cognitive diversity, innovation, and self-organization, although tempered by staff turnover. The patterns of communication between care providers in nursing facilities have an important impact on their ability to provide quality, innovative care.

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confidence: 99%

Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science

et al. 2006

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“…91,92 The record then becomes a multivoiced rather than a unified representation of the patient with a trail of perspective-driven reports and entries, each implicitly claiming to represent the truth but with little communication between one another. 93,94 A culture that encourages active collaboration between nurses, physicians, and other clinicians in the development process of the information system as well as joint collaboration on chart note writing can result in a unified note structure that would be easier for patients to read, understand, and ultimately use. [95][96][97] Patient-centeredness…”

Section: Valuing Collaboration In Documentationmentioning

confidence: 99%

Overcoming Structural Constraints to Patient Utilization of Electronic Medical Records: A Critical Review and Proposal for an Evaluation Framework

Winkelman

Leonard

2003

Journal of the American Medical Informatics Association

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There are constraints embedded in medical record structure that limit use by patients in self-directed disease management. Through systematic review of the literature from a critical perspective, four characteristics that either enhance or mitigate the influence of medical record structure on patient utilization of an electronic patient record (EPR) system have been identified: environmental pressures, physician centeredness, collaborative organizational culture, and patient centeredness. An evaluation framework is proposed for use when considering adaptation of existing EPR systems for online patient access. Exemplars of patient-accessible EPR systems from the literature are evaluated utilizing the framework. From this study, it appears that traditional information system research and development methods may not wholly capture many pertinent social issues that arise when expanding access of EPR systems to patients. Critically rooted methods such as action research can directly inform development strategies so that these systems may positively influence health outcomes.

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“…The professionals are not only responsible for writing into and reading from the record. They are themselves rich sources of memory (for themselves and for each other), and they also themselves spend much time ensuring that their activities are and remain coordinated [9,19].A doctor often gets a 'complete picture' of a patient by browsing the PCIS, which activates her own memory, or by asking colleagues or nurses who have dealt with this patient. Likewise, an enormous amount of activities are coordinated through phone calls, meetings, and other forms of 'coordination by feedback' [20,21].…”

Section: How Patient Care Information Systems Make Medical Work Possiblementioning

confidence: 99%

The Search for Synergy: Interrelating Medical Work and Patient Care Information Systems

Berg¹

2003

Methods Inf Med

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Summary Objectives: This article aims to search for the way patient care information systems can be most fruitfully put to work in health care. Methods: Given the calls for improved health care quality, there is a need for IT’s coordination capacities in health care. Yet IT’s track record in this area is less than many expected. Moreover, many argue that the nature of health care work sets natural limits to the possibilities of IT to revolutionize this work. Starting with an analysis of the paper record, this article explores the way IT and professional work can be interrelated synergistically. Results: Two principles are discussed: 1) The key to a fruitful operation of IT in health care work lies in the unraveling of the care process, and the redistribution of tasks between professionals and the IT application. 2) Professionals should be given the skills and resources to adapt the IT application’s demands to the needs of their work practices. Conclusion: IT can bring true process support to health care when taking the two principles discussed here into account.

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Information exchange between physicians and nurses

Cited by 10 publications

References 6 publications

Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science

Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science

Overcoming Structural Constraints to Patient Utilization of Electronic Medical Records: A Critical Review and Proposal for an Evaluation Framework

The Search for Synergy: Interrelating Medical Work and Patient Care Information Systems

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