Knowledge sharing networks related to hospital quality measurement and reporting

Rangachari, Pavani

doi:10.1097/01.hmr.0000324910.26896.91

Cited by 63 publications

(68 citation statements)

References 5 publications

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“…While earlier research has suggested that peer-to-peer dense communication networks may be most effective for tacit knowledge exchange [39,40] , this literature was restricted to business corporations. Applying the framework to the healthcare organizational context has suggested that proactive and periodic top-down communications may be effective for tacit knowledge exchange, collective learning, and change [31][32][33] . The reasoning is that professional organizations contain multiple professional subgroups that differ in shared expertise and value systems.…”

Section: Literature On Organizational Change Implementationmentioning

confidence: 99%

“…Research on implementing & sustaining organizational change, emanates from the literature on "Professional Complex Systems," which provides a broader framework for addressing the problem of interest [31][32][33][34][35][36][37][38] . Complex systems theory has repeatedly emphasized that collective learning is an essential pre-requisite to organizational change; and the collective learning in turn, requires the creation of collective tacit knowledge [35,36] , or knowledge embedded in practice (and not easily communicable).…”

Section: Literature On Organizational Change Implementationmentioning

confidence: 99%

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Role of Social Knowledge Networking technology in facilitating meaningful use of Electronic Health Record medication reconciliation

Rangachari

2016

JHA

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Despite the federal policy impetus towards EHR Medication Reconciliation, hospital adherence has lagged for one chief reason; low physician engagement, which in turn emanates from lack of consensus in regard to which physician is responsible for managing a patient's medication list, and the importance of medication reconciliation as a tool for improving patient safety and quality of care.The Technology-in-Practice (TIP) framework stresses the role of human action in enacting structures of technology use or "technologies-in-practice." Applying the TIP framework to the EHR Medication Reconciliation context, helps frame the problem as one of low physician engagement in performing EHR Medication Reconciliation, translating to limited-use-EHR-inpractice. Concurrently, the problem suggests a hierarchical network structure, reflecting limited communication among hospital administrators and clinical providers on the importance of EHR Medication Reconciliation in improving patient safety. Integrating the TIP literature with the more recent knowledge-in-Practice (KIP) literature suggests that EHR-in-practice could be transformed from "limited use" to "meaningful use" through the use of Social Knowledge Networking (SKN) Technology to create new social network structures, and enable engagement, learning, and practice change.Correspondingly, the objectives of this paper are to: 1) Conduct a narrative review of the literature on "technology use," to understand how technologies-in-practice may be transformed from limited use to meaningful use; 2) Conduct a narrative review of the literature on "organizational change implementation," to understand how changes in technology use could be successfully implemented and sustained in a healthcare organizational context; and 3) Apply lessons learned from the narrative literature reviews to identify strategies for the meaningful use and successful implementation of EHR Medication Reconciliation technology.

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Section: Literature On Organizational Change Implementationmentioning

confidence: 99%

Section: Literature On Organizational Change Implementationmentioning

confidence: 99%

Role of Social Knowledge Networking technology in facilitating meaningful use of Electronic Health Record medication reconciliation

Rangachari

2016

JHA

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“…A key limitation of the TIP literature however, is that while it helps understand causes of unintended consequences of technology implementation, it does not by itself provide solutions to overcome them. A more recent stream of literature on knowledge-in-practice (KIP), which emanates from the broader literature stream on implementing and sustaining change in healthcare organizations has sought to understand how the creation of new communication (network) structures (or social structures) could enable the creation of new knowledge to in turn facilitate collective learning and organizational change [19][20][21][22][23][24][25][26][27] .…”

Section: Understanding and Detecting The Causes Of Unintended Adversementioning

confidence: 99%

Using social knowledge networking technology to enable meaningful use of electronic health record technology in hospitals and health systems

Rangachari

2014

JHA

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Despite the federal policy momentum towards "meaningful use" of Electronic Health Records (EHRs), the healthcare organizational literature remains replete with reports of unintended adverse consequences of implementing EHRs, including: increased work for clinicians, unfavorable workflow changes, and unexpected changes in communication patterns & practices. In addition to being costly and unsafe, these unintended adverse consequences may pose a formidable barrier to "meaningful use" of EHRs. Correspondingly, it is essential for hospital administrators to understand and detect the causes of unintended adverse consequences, to ensure successful implementation of EHRs. The longstanding Technology-in-Practice framework emphasizes the role of human agency in enacting structures of technology use or "technologies-in-practice". Given a set of unintended adverse consequences from health information technology implementation, this framework could help trace them back to specific actions (types of technology-in-practice) and institutional conditions (social structures). On the other hand, the more recent Knowledge-in-Practice framework helps understand how information and communication technologies (e.g., social knowledge networking systems) could be implemented alongside existing technology systems, to create new social structures, generate new knowledge-in-practice, and transform technology-in-practice. Therefore, integrating the two literature streams could serve the dual purpose of understanding and overcoming unintended adverse consequences of EHR implementation. This paper seeks to: (1) review the theoretical literatures on technology use & implementation, and identify a framework for understanding & overcoming unintended adverse consequences of implementing EHRs; (2) outline a broad project proposal to test the applicability of the framework in enabling "meaningful use" of EHRs in a healthcare context; and (3) identify strategies for successful implementation of EHRs in hospitals & health systems, based on the literature review and application.

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“…국외에서는 간호사들의 지식공유가 간호사의 임상수행능력, 환 자안전, 환자 만족도에 실질적으로 영향을 미치는 것으로 확인되었 으며 [6], 이에 따라 조직차원에서 간호사가 속한 부서 및 조직에서의 지식공유를 위한 방안을 단계적으로 확대하고 있다 [7]. 이를 위하여 기존 정보시스템을 인트라넷으로 구축하고 블로그, wikis, podcasts 등과 같은 다양한 도구를 통하여 사용자들이 실질적으로 지식을 창출하고 공유할 수 있는 환경을 조성하였다 [8].…”

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A Development and Evaluation of Nursing KMS using QFD in Outpatient Departments

Lee

Yun

2014

J Korean Acad Nurs

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Purpose: This study was done to develop and implement the Nursing KMS (knowledge management system) in order to improve knowledge sharing and creation among clinical nurses in outpatient departments. Methods: This study was a methodological research using the 'System Development Life Cycle': consisting of planning, analyzing, design, implementation, and evaluation. Quality Function Deployment (QFD) was applied to establish nurse requirements and to identify important design requirements. Participants were 32 nurses and for evaluation data were collected pre and post intervention at K Hospital in Seoul, a tertiary hospital with over 1,000 beds. Results: The Nursing KMS was built using a Linux-based operating system, Oracle DBMS, and Java 1.6 web programming tools. The system was implemented as a sub-system of the hospital information system. There was statistically significant differences in the sharing of knowledge but creating of knowledge was no statistically meaningful difference observed. In terms of satisfaction with the system, system efficiency ranked first followed by system convenience, information suitability and information usefulness. Conclusion: The results indicate that the use of Nursing KMS increases nurses' knowledge sharing and can contribute to increased quality of nursing knowledge and provide more opportunities for nurses to gain expertise from knowledge shared among nurses.

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Knowledge sharing networks related to hospital quality measurement and reporting

Cited by 63 publications

References 5 publications

Role of Social Knowledge Networking technology in facilitating meaningful use of Electronic Health Record medication reconciliation

Role of Social Knowledge Networking technology in facilitating meaningful use of Electronic Health Record medication reconciliation

Using social knowledge networking technology to enable meaningful use of electronic health record technology in hospitals and health systems

A Development and Evaluation of Nursing KMS using QFD in Outpatient Departments

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