Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study.

Tópicos

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Resumo

TRODUCTION: Clinical pathways (CPs) have been evaluated with regard to process optimization, economic effects, quality of care, patient satisfaction and staff satisfaction. IT- (information technology) supported CPs, integrated within the HIS (hospital information system), have been implemented in our department in 2004 for the first time world-wide. Herein, we describe the effect of this new concept on medical staff satisfaction.METHODS: A prospective anonymous and voluntary survey with standardized questionnaires was performed annually from 2006 until 2009 evaluating staff satisfaction concerning CPs. Questions comprised satisfaction with the software, staff's attitude towards CPs and the impact of CPs on work-related processes.RESULTS: Within the observation period the term "clinical pathways" became more common among doctors and nurses. Knowledge of the aims of CPs increased significantly in nursing staff (43.4-74.5%), whereas doctor's knowledge was on a constant high level. Standardization, process facilitation and cost effectiveness were the most claimed goals of CPs. Comprehensibility of the single steps within CPs was on a constant high level over the observation period. Generally, graphical layout and usability of CPs ranged on a very high satisfaction level. Acceptability of IT-supported CPs is independent from staffs computer knowledge.CONCLUSIONS: Staff satisfaction with IT-supported CPs needs to take into account the job characteristics of the different professional groups. IT-supported CPs are leading to a high staff satisfaction, the aims of CPs are widely understood by medical employees. IT-supported CPs may ameliorate staff satisfaction and thereby enhance workflow efficiencies.

Resumo Limpo

troduct clinic pathway cps evalu regard process optim econom effect qualiti care patient satisfact staff satisfact inform technolog support cps integr within hospit inform system implement depart first time worldwid herein describ effect new concept medic staff satisfactionmethod prospect anonym voluntari survey standard questionnair perform annual evalu staff satisfact concern cps question compris satisfact softwar staff attitud toward cps impact cps workrel processesresult within observ period term clinic pathway becam common among doctor nurs knowledg aim cps increas signific nurs staff wherea doctor knowledg constant high level standard process facilit cost effect claim goal cps comprehens singl step within cps constant high level observ period general graphic layout usabl cps rang high satisfact level accept itsupport cps independ staff comput knowledgeconclus staff satisfact itsupport cps need take account job characterist differ profession group itsupport cps lead high staff satisfact aim cps wide understood medic employe itsupport cps may amelior staff satisfact therebi enhanc workflow effici

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