We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication

Taylor, Stephanie Parks; Ledford, Robert; Palmer, Victoria; Abel, Erika

doi:10.1136/bmjqs-2013-002436

Cited by 47 publications

(43 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, the implementation of an electronic medical record in a hospital setting has been shown to decrease face-to-face communication between physicians and nurses and worsen overall agreement about the plan of care (Taylor, Ledford, Palmer, & Abel, 2014); in addition, the use of short text messages in GIM has been linked to fewer verbal conversations and face to face interactions (Wu et al, 2014). Reflexivity about organizational routines such as rounds, referral practices and face-to-face and electronic communication can facilitate formal and informal interprofessional negotiations that contribute to high quality patient discharge.…”

Section: Discussionmentioning

confidence: 99%

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Goldman

Reeves

et al. 2016

Journal of Interprofessional Care

View full text Add to dashboard Cite

Patient discharge is a key concern in hospitals, particularly in acute care given the multifaceted and challenging nature of patients' health care needs. Policies on discharge have identified the importance of interprofessional collaboration, yet research has described its limitations in this clinical context. This study aimed to extend our understanding of interprofessional interactions related to discharge in a general internal medicine setting by using sociological theories to illuminate the existence of, and interplay between, structural factors and micro-level practices. An ethnographic approach was employed to obtain an in-depth insight into health care providers' perspectives, 2 of healthcare labour in patient discharge with opportunities for some interprofessional negotiations; the role of organizational routines in facilitating and challenging interprofessional negotiations in patient discharge; and tensions in organizational priorities that impact an interprofessional approach to discharge. The findings provide insight into the various levels at which interventions can be targeted to improve interprofessional collaboration in discharge while recognizing the organizational tensions that challenge an interprofessional approach.

show abstract

Section: Discussionmentioning

confidence: 99%

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Goldman

Reeves

et al. 2016

Journal of Interprofessional Care

View full text Add to dashboard Cite

show abstract

Section: Informatics-based Recommendationsmentioning

confidence: 99%

“…Receiving multiple instant messages in their busy day may overwhelm the clinicians with information. In fact, a recent study reported that electronic communication worsened the healthcare providers' agreement regarding the plan of care [58].Raising awareness on the importance of the information related to fall risk management through educational seminars and training is essential for all HHA clinicians and staff members. Such training can allow clinicians to understand each other's roles and what information each discipline requires to better manage the risk of falls.…”

mentioning

confidence: 99%

Identifying Home Care Clinicians’ Information Needs for Managing Fall Risks

Alhuwail

Koru

2016

Appl Clin Inform

View full text Add to dashboard Cite

KeywordsHome health agencies, health information technology, quality of care, workflow, information management SummaryObjectives: To help manage the risk of falls in home care, this study aimed to (i) identify home care clinicians' information needs and how they manage missing or inaccurate data, (ii) identify problems that impact effectiveness and efficiency associated with retaining, exchanging, or processing information about fall risks in existing workflows and currently adopted health information technology (IT) solutions, and (iii) offer informatics-based recommendations to improve fall risk management interventions. Methods: A case study was carried out in a single not-for-profit suburban Medicare-certified home health agency with three branches. Qualitative data were collected over a six month period through observations, semi-structured interviews, and focus groups. The Framework method was used for analysis. Maximum variation sampling was adopted to recruit a diverse sample of clinicians. Results: Overall, the information needs for fall risk management were categorized into physiological, care delivery, educational, social, environmental, and administrative domains. Examples include a brief fall-related patient history, weight-bearing status, medications that affect balance, availability of caregivers at home, and the influence of patients' cultures on fall management interventions. The unavailability and inaccuracy of critical information related to fall risks can delay necessary therapeutic services aimed at reducing patients' risk for falling and thereby jeopardizing their safety. Currently adopted IT solutions did not adequately accommodate data related to fall risk management. Conclusion:The results highlight the essential information for fall risk management in home care. Home care workflows and health IT solutions must effectively and efficiently retain, exchange, and process information necessary for fall risk management. Interoperability and integration of the various health IT solutions to make data sharing accessible to all clinicians is critical for fall risk management. Findings from this study can help home health agencies better understand their information needs to manage fall risks. BackgroundHome healthcare, referred to as home care henceforth, is defined as episodic and intermittent secondary care services provided to home-bound patients in their homes. Serving mostly the elderly [1], home care involves skilled care services provided by nurses, physical therapists, occupational therapists, speech therapists, social workers, and home aides [2]. Home care is a critical component in the continuum of care for many patients who require recuperative and rehabilitative services after hospital discharges [3][4][5][6]. It enables patients to achieve better recovery, gain strength, regain functionality, and become independent more quickly [7]. Home care is an important component of the overall healthcare industry in the United States (US) with a projected increase in its utilization and expen...

show abstract

“…Also, while it has been demonstrated that the introduction of electronic health records results in changes to the frequency of verbal communication and shared awareness between physicians and nurses [17,18], to our knowledge, no study analyzing the in situ content and characteristics in the era of widespread EHR use has been completed.…”

Section: Introductionmentioning

confidence: 99%

Communication in the Electronic Age: an Analysis of Face-to-Face Physician-Nurse Communication in the Emergency Department

Benda

Hettinger

Bisantz

et al. 2017

J Healthc Inform Res

View full text Add to dashboard Cite

We describe the patterns and content of nurse to physician verbal conversations in three emergency departments (EDs) with electronic health records. Emergency medicine physicians and nurses were observed for 2 h periods. Researchers used paper notes to document the characteristics (e.g., partners involved, location of communication, who initiated communication) and content of nurse to physician conversations. J Healthc Inform Res (2017)

show abstract

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication

Abstract: The implementation of EMR was associated with a decrease in face-to-face communication between physicians and nurses, and worsened overall agreement about the plan of care.

Cited by 47 publications

References 11 publications

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Identifying Home Care Clinicians’ Information Needs for Managing Fall Risks

Communication in the Electronic Age: an Analysis of Face-to-Face Physician-Nurse Communication in the Emergency Department

Contact Info

Product

Resources

About