AMIA Annu Symp Proc - Characterization of a handoff documentation tool through usage log data.

Tópicos

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Resumo

Handoffs are a critical component of coordinated patient care; however, poor handoffs have been associated with near misses and adverse events. To address this, national agencies have recommended standardizing handoffs, for example through the use of handoff documentation tools. Recent research suggests that handoff tools, typically designed for physicians, are often used by non-physician providers as information sources. In this study, we investigated patterns of edits of an electronic handoff tool in a large teaching hospital through examination of its usage log data. Qualitative interviews with clinicians were used to triangulate log data findings. The analysis showed that despite its primary focus on facilitating transitions of care, information in the handoff documentation tool was updated throughout the day. Interviews with residents confirmed that they purposefully updated information to make it available for other members of their patient care teams. This further reiterates the view of electronic handoff tools as facilitators of team communication and coordination. However, the study also showed considerable variability in the frequency of updates between different units and across different patients. Further research is required to understand what factors drive such diversity in the use of electronic handoff tool and whether this diversity can be used to make inferences about patients' conditions.

Resumo Limpo

handoff critic compon coordin patient care howev poor handoff associ near miss advers event address nation agenc recommend standard handoff exampl use handoff document tool recent research suggest handoff tool typic design physician often use nonphysician provid inform sourc studi investig pattern edit electron handoff tool larg teach hospit examin usag log data qualit interview clinician use triangul log data find analysi show despit primari focus facilit transit care inform handoff document tool updat throughout day interview resid confirm purpos updat inform make avail member patient care team reiter view electron handoff tool facilit team communic coordin howev studi also show consider variabl frequenc updat differ unit across differ patient research requir understand factor drive divers use electron handoff tool whether divers can use make infer patient condit

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