J Am Med Inform Assoc - Electronic handoff instruments: a truly multidisciplinary tool?

Tópicos

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Resumo

The objective was to assess use of a physician handoff tool embedded in the electronic medical record by nurses and other non-physicians. We administered a survey to nurses, physical therapists, discharge planners, social workers, and others to assess integration into daily practice, usefulness, and accuracy of the handoff tool. 231 individuals (61% response) participated. 60% used the tool often or usually/always during a shift. Nurses (46%) used the tool for shift transitions and found it helpful for medical history (79%) but not for acquiring medication, allergy, and responsible physician information. Nurses (96%) and others (75%) rated the tool as accurate. Medical nurses rated the tool more useful than surgical nurses, and pediatric nurses rarely used the tool. The tool was integrated into the daily workflow of non-physicians despite being designed for physician use. Non-physicians should be included in the design and implementation of electronic patient handoff systems.

Resumo Limpo

object assess use physician handoff tool embed electron medic record nurs nonphysician administ survey nurs physic therapist discharg planner social worker other assess integr daili practic use accuraci handoff tool individu respons particip use tool often usuallyalway shift nurs use tool shift transit found help medic histori acquir medic allergi respons physician inform nurs other rate tool accur medic nurs rate tool use surgic nurs pediatr nurs rare use tool tool integr daili workflow nonphysician despit design physician use nonphysician includ design implement electron patient handoff system

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