J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care.

Tópicos

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Resumo

CKGROUND: The National Health Service in England has given increasing priority to improving inter-professional communication, enabling better management of patients with chronic conditions and reducing medical errors through effective use of information. Despite considerable efforts to reduce patient harm through better information usage, medical errors continue to occur, posing a serious threat to patient safety.OBJECTIVES: This study explores the range, quality and sophistication of existing information systems in primary care with the aim to capture what information practitioners need to provide a safe service and identify barriers to its effective use in care pathways.METHOD: Data were collected through semi-structured interviews with general practitioners from surgeries in North West London and a survey evaluating their experience with information systems in care pathways.RESULTS: Important information is still missing, specifically discharge summaries detailing medication changes and changes in the diagnosis and management of patients, blood results ordered by hospital specialists and findings from clinical investigations. Participants identified numerous barriers, including the communication gap between primary and secondary care, the variable quality and consistency of clinical correspondence and the inadequate technological integration.CONCLUSION: Despite attempts to improve integration and information flow in care pathways, existing systems provide practitioners with only partial access to information, hindering their ability to take informed decisions. This study offers a framework for understanding what tools should be in place to enable effective use of information in primary care.

Resumo Limpo

ckground nation health servic england given increas prioriti improv interprofession communic enabl better manag patient chronic condit reduc medic error effect use inform despit consider effort reduc patient harm better inform usag medic error continu occur pose serious threat patient safetyobject studi explor rang qualiti sophist exist inform system primari care aim captur inform practition need provid safe servic identifi barrier effect use care pathwaysmethod data collect semistructur interview general practition surgeri north west london survey evalu experi inform system care pathwaysresult import inform still miss specif discharg summari detail medic chang chang diagnosi manag patient blood result order hospit specialist find clinic investig particip identifi numer barrier includ communic gap primari secondari care variabl qualiti consist clinic correspond inadequ technolog integrationconclus despit attempt improv integr inform flow care pathway exist system provid practition partial access inform hinder abil take inform decis studi offer framework understand tool place enabl effect use inform primari care

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