Patient-clinician concordance, face-time and access

Stahl, James E.; Drew, Mark; Kimball, Alexa B.

doi:10.1108/ijhcqa-04-2013-0048

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…More than in other services, as, for example, financial services or connected to tourism, quality is more complex to be defined in health because it considers people's lives and the main influences for service users analyses hovers on professionals cordiality, competence, time spent (attention) with the patient and the quantity of provided information. Patients look for support behaviors, effectiveness, care, help and attention by health service providers (Naidu, 2009;Bergström et al, 2013;Stahl, Drew & Kimball, 2014), directly impacting on their service satisfaction level (Larsson & Wilde-Larsson, 2010). From direct observation and the interview performed with the Obstetric Center obstetric doctor, it was found that some infrastructure changes, in operational processes and people management could positively influence service quality perceived level and, consequently, obstetric users satisfaction level.…”

Section: Final Considerationsmentioning

confidence: 99%

Employability Attributes required for Entry-Level Marketing Jobs in Selected Sectors in South Africa

Roux¹,

Jager²

2016

JMM

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This study focused on the ambivalent emotions (positive and negative) experienced by obstetric services users. Identifying such emotions can help setting priorities and improving services quality, increasing patient satisfaction. It was implemented a qualitative and exploratory research, by means of personal interviews with semi-structured approach. The data was analyzed and interpreted using content analysis, direct observation and its triangulation. As main results, we highlight the understanding of ambivalent emotions incidence, especially fear and joy/happiness and identification of directions for maximizing positive emotions and minimizing negative emotions, reflecting on the perceived services quality and customer satisfaction.

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Section: Final Considerationsmentioning

confidence: 99%

Employability Attributes required for Entry-Level Marketing Jobs in Selected Sectors in South Africa

Roux¹,

Jager²

2016

JMM

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“…Ohashi et al demonstrated in a pilot project that an RTLS could reduce the time nurses spent performing verification tasks. [13][14][15][16] Stübig et al showed that a Wi-Fi-based RTLS decreased treatment time for outpatients by 23%. 17 Stahl et al evaluated an RFID system in a primary care facility and found mixed results.…”

Section: Background and Significancementioning

confidence: 99%

The Impact of a Location-Sensing Electronic Health Record on Clinician Efficiency and Accuracy: A Pilot Simulation Study

et al. 2018

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Background Through the Health Information Technology for Economic and Clinical Health Act of 2009, the federal government invested $26 billion in electronic health records (EHRs) to improve physician performance and patient safety; however, these systems have not met expectations. One of the cited issues with EHRs is the human–computer interaction, as exhibited by the excessive number of interactions with the interface, which reduces clinician efficiency. In contrast, real-time location systems (RTLS)—technologies that can track the location of people and objects—have been shown to increase clinician efficiency. RTLS can improve patient flow in part through the optimization of patient verification activities. However, the data collected by RTLS have not been effectively applied to optimize interaction with EHR systems. Objectives We conducted a pilot study with the intention of improving the human–computer interaction of EHR systems by incorporating a RTLS. The aim of this study is to determine the impact of RTLS on process metrics (i.e., provider time, number of rooms searched to find a patient, and the number of interactions with the computer interface), and the outcome metric of patient identification accuracy Methods A pilot study was conducted in a simulated emergency department using a locally developed camera-based RTLS-equipped EHR that detected the proximity of subjects to simulated patients and displayed patient information when subjects entered the exam rooms. Ten volunteers participated in 10 patient encounters with the RTLS activated (RTLS-A) and then deactivated (RTLS-D). Each volunteer was monitored and actions recorded by trained observers. We sought a 50% improvement in time to locate patients, number of rooms searched to locate patients, and the number of mouse clicks necessary to perform those tasks. Results The time required to locate patients (RTLS-A = 11.9 ± 2.0 seconds vs. RTLS-D = 36.0 ± 5.7 seconds, p < 0.001), rooms searched to find patient (RTLS-A = 1.0 ± 1.06 vs. RTLS-D = 3.8 ± 0.5, p < 0.001), and number of clicks to access patient data (RTLS-A = 1.0 ± 0.06 vs. RTLS-D = 4.1 ± 0.13, p < 0.001) were significantly reduced with RTLS-A relative to RTLS-D. There was no significant difference between RTLS-A and RTLS-D for patient identification accuracy. Conclusion This pilot demonstrated in simulation that an EHR equipped with real-time location services improved performance in locating patients and reduced error compared with an EHR without RTLS. Furthermore, RTLS decreased the number of mouse clicks required to access information. This study suggests EHRs equipped with real-time location services that automates patient location and other repetitive tasks may improve physician efficiency, and ultimately, patient safety.

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Designing and validating a low-cost real time locating system to continuously assess patient wait times

Newman-Casey

Musser

Niziol

et al. 2020

Journal of Biomedical Informatics

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Patient-clinician concordance, face-time and access

Cited by 6 publications

References 18 publications

Employability Attributes required for Entry-Level Marketing Jobs in Selected Sectors in South Africa

Employability Attributes required for Entry-Level Marketing Jobs in Selected Sectors in South Africa

The Impact of a Location-Sensing Electronic Health Record on Clinician Efficiency and Accuracy: A Pilot Simulation Study

Designing and validating a low-cost real time locating system to continuously assess patient wait times

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