Int J Med Inform - Organisational influences on nurses' use of clinical decision support systems.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ implement(1333) system(1263) develop(1122) }
{ use(2086) technolog(871) perceiv(783) }
{ search(2224) databas(1162) retriev(909) }
{ system(1050) medic(1026) inform(1018) }
{ state(1844) use(1261) util(961) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ research(1085) discuss(1038) issu(1018) }
{ health(3367) inform(1360) care(1135) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ chang(1828) time(1643) increas(1301) }
{ studi(1119) effect(1106) posit(819) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ cost(1906) reduc(1198) effect(832) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ concept(1167) ontolog(924) domain(897) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ data(2317) use(1299) case(1017) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: Nurses are increasingly using computerised decision support systems (CDSS) to support their practice. Previous studies have highlighted the importance organisational factors have on the successful implementation of new technologies in healthcare. However, it is unclear how the organisations where nurses work either facilitate or inhibit the successful use of CDSS. The aim of this paper is to explore what nurses and NHS (National Health Service) managers working in NHS organisations in England perceive as the organisational features facilitating the introduction and successful use of CDSS.METHODS: A study of four case sites where nurses were using CDSS. Data included 124 observations of nurse/patient consultations, 36 patient interviews, 55 nurse interviews and 18 interviews with clinical unit or NHS managers. The majority of the data were qualitative and analysed using thematic content analysis.FINDINGS: There were a number of drivers for the introduction of CDSS, including instigation from individual clinicians and initiatives at policy level. A key element for the successful introduction of technology such as CDSS was clinician engagement. However, also seen as important for successfully implementation of an IT system are other factors such as the need for adequate resources, characteristics of the system itself and adequate training. Other key issues are a supportive environment and the desire to improve continually the quality of patient services.CONCLUSIONS: For nurses to use CDSS successfully, engagement by clinicians in the procurement and implementation of systems is useful. However, the data collected in this study suggest this is not necessary for successful implementation; nurses may still successfully introduce and use a CDSS if they perceive it to have benefits to their practice.

Resumo Limpo

jectiv nurs increas use computeris decis support system cdss support practic previous studi highlight import organis factor success implement new technolog healthcar howev unclear organis nurs work either facilit inhibit success use cdss aim paper explor nurs nhs nation health servic manag work nhs organis england perceiv organis featur facilit introduct success use cdssmethod studi four case site nurs use cdss data includ observ nursepati consult patient interview nurs interview interview clinic unit nhs manag major data qualit analys use themat content analysisfind number driver introduct cdss includ instig individu clinician initi polici level key element success introduct technolog cdss clinician engag howev also seen import success implement system factor need adequ resourc characterist system adequ train key issu support environ desir improv continu qualiti patient servicesconclus nurs use cdss success engag clinician procur implement system use howev data collect studi suggest necessari success implement nurs may still success introduc use cdss perceiv benefit practic

Resumos Similares

J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,874715149918172 )
Appl Clin Inform - An e-health decision support system for improving compliance of health workers to the maternity care protocols in South Africa. ( 0,846524939631436 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,842056831978657 )
Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,836867316755254 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,824204789375614 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,811439178433439 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,809830458638616 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,786651905889715 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,785582568370621 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,785469705296307 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,778296872784963 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,777113892897336 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,776543601937368 )
Int J Med Inform - Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. ( 0,764031740253275 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,757938833822144 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,756782062165335 )
Telemed J E Health - A pilot trial of telephone-based collaborative care management for PTSD among Iraq/Afghanistan war veterans. ( 0,756322802631442 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,753394435436219 )
Telemed J E Health - Key factors influencing the intention of telecare adoption: an institutional perspective. ( 0,748138166298181 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,747042173703414 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,746666464495178 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,746566997001174 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,742351071740247 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,741250963124609 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,739671780775131 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,73646424623381 )
Inform Health Soc Care - Specifying process requirements for holistic care. ( 0,733129087136963 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,732221325166861 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,731965376010748 )
BMC Med Inform Decis Mak - Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study. ( 0,729205497355851 )
BMC Med Inform Decis Mak - Methods to identify, study and understand end-user participation in HIT development. ( 0,727479347361812 )
Inform Health Soc Care - Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards. ( 0,725529559781726 )
Health Informatics J - Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital. ( 0,724706165258783 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,724702295606101 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,724658959791442 )
Int J Med Inform - Do no harm: fortifying MDT collaboration in changing technological times. ( 0,724406892613646 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,722308051149362 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,720933064270961 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,718654906743138 )
Int J Med Inform - Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. ( 0,718605715904598 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,715803851027644 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,714870494356744 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,712738239321751 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,712158371995789 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,712152577610593 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,712072434430759 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,711276778393674 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,709530506814849 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,709286070346544 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,709187322482287 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,708746167154933 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,706035931587185 )
Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,703601216012963 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,700304814959414 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,69982920529954 )
Inform Health Soc Care - 'The web is not enough, it's a base'--an explorative study of what needs a web-based support system for young carers must meet. ( 0,698017389853637 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,695181346757731 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,694769804576657 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,69418917474187 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,692381978698313 )
Appl Clin Inform - Usability characteristics of self-administered computer-assisted interviewing in the emergency department: factors affecting ease of use, efficiency, and entry error. ( 0,691638863491305 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,691404251155661 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,691095258123347 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,690421320259634 )
Appl Clin Inform - The implementation of an integrated information system for substance use screening in general medical settings. ( 0,688738798631155 )
Int J Med Inform - CareCoor: augmenting the coordination of cooperative home care work. ( 0,687042590468215 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,680911580051347 )
Health Informatics J - Beyond bureaucracy: emerging trends in social care informatics. ( 0,67656708451329 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,675022276403533 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,674013217772605 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,673591308983593 )
Int J Med Inform - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. ( 0,671281152815492 )
Int J Med Inform - Healthcare professionals' adoption and use of a clinical information system (CIS) in primary care: insights from the Da Vinci study. ( 0,670700280946396 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,669375192012167 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,669288702621048 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,667978241007362 )
Int J Med Inform - Introducing electronic messaging in Norwegian healthcare: unintended consequences for interprofessional collaboration. ( 0,667445304755543 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,667055488215228 )
Int J Med Inform - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. ( 0,664484582321097 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,664422639552721 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,664114287228563 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,663344077311527 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,662634319680456 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,661629486016932 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,660490638391155 )
BMC Med Inform Decis Mak - A study of clinical and information management processes in the surgical pre-assessment clinic. ( 0,660007399389712 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,658189315562445 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,657500672754407 )
BMC Med Inform Decis Mak - Validation of the Work Observation Method By Activity Timing (WOMBAT) method of conducting time-motion observations in critical care settings: an observational study. ( 0,657232460673987 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,656904778257601 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,655343246656426 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,653831900386886 )
J Med Syst - Advanced nurse-patient communication system. ( 0,650573474391766 )
AMIA Annu Symp Proc - Identification and management of information problems by emergency department staff. ( 0,650283781691658 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,649264909988347 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,648454647442795 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,648437001942037 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,646939696590027 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,644314653575923 )
BMC Med Inform Decis Mak - Improving the effectiveness of electronic health record-based referral processes. ( 0,643963787973007 )