Int J Med Inform - Effects of clinical communication interventions in hospitals: a systematic review of information and communication technology adoptions for improved communication between clinicians.

Tópicos

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

Resumo

JECTIVE: To conduct a systematic review of the literature to identify, describe and assess interventions of information and communication technology on the processes of communication and associated patient outcomes within hospital settings.MATERIALS AND METHODS: Studies published from the years 1996 to 2010 were considered and were selected if they described an evaluation of information and communication technology interventions to improve clinical communication within hospitals. Two authors abstracted data from full text articles, and the quality of individual articles were appraised. Results of interventions were summarized by their effect.RESULTS: There were 18 identified studies that evaluated the use of interventions that included alphanumeric paging, hands-free communication devices, mobile phones, smartphones, task management systems and a display based paging system. Most quantitative studies used a before and after study design and were of lower quality. Of all the studies, there was only one prospective randomized study, but this study used only simulated communication events. Quantitative studies identified improved perceptions of communication and some improvement in communication metrics. Qualitative studies described improvements in efficiency of communication but also issues of loss of control and reliability.CONCLUSIONS: Despite the rapid advancement in information and communications technology over the last decade, there is limited evidence suggesting improvements in the ability of health professionals to communicate effectively. Given the critical nature of communication, we advocate further evaluation of information and communication technology designed to improve communication between clinicians. Outcome measures should include measures of patient-oriented outcomes and efficiency for clinicians.

Resumo Limpo

jectiv conduct systemat review literatur identifi describ assess intervent inform communic technolog process communic associ patient outcom within hospit settingsmateri method studi publish year consid select describ evalu inform communic technolog intervent improv clinic communic within hospit two author abstract data full text articl qualiti individu articl apprais result intervent summar effectresult identifi studi evalu use intervent includ alphanumer page handsfre communic devic mobil phone smartphon task manag system display base page system quantit studi use studi design lower qualiti studi one prospect random studi studi use simul communic event quantit studi identifi improv percept communic improv communic metric qualit studi describ improv effici communic also issu loss control reliabilityconclus despit rapid advanc inform communic technolog last decad limit evid suggest improv abil health profession communic effect given critic natur communic advoc evalu inform communic technolog design improv communic clinician outcom measur includ measur patientori outcom effici clinician

Resumos Similares

AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,808448168309956 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,767733148084005 )
J Am Med Inform Assoc - Quantifying care coordination using natural language processing and domain-specific ontology. ( 0,7583243446971 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,748066072063298 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,731112029620866 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,730974282054343 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,707145091431749 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,705313853229025 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,70275763692569 )
Appl Clin Inform - Insight into the sharing of medical images: physician, other health care providers, and staff experience in a variety of medical settings. ( 0,697917940739683 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,695237930106963 )
Telemed J E Health - Application of a smartphone nurse call system for nursing care. ( 0,694616189356708 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,693238009464703 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,692420702654716 )
Int J Med Inform - Closing information gaps with shared electronic patient summaries: how much will it matter? ( 0,690613097851001 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,689089152833855 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,6886967278345 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,687782847092823 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,682595245527472 )
J Telemed Telecare - Systematic review of studies on telemonitoring of patients with congestive heart failure: a meta-analysis. ( 0,68220612921842 )
J. Med. Internet Res. - Evidence of effectiveness of health care professionals using handheld computers: a scoping review of systematic reviews. ( 0,681988713198182 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,680669922839586 )
J. Med. Internet Res. - Researchers' needs for resource discovery and collaboration tools: a qualitative investigation of translational scientists. ( 0,675570626460489 )
J. Med. Internet Res. - Wikis and collaborative writing applications in health care: a scoping review. ( 0,672196463788911 )
J Biomed Inform - In search of common ground in handoff documentation in an Intensive Care Unit. ( 0,672111607680286 )
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. ( 0,667916643243703 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,666413566176654 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,665226399287523 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,663980116903128 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,660860295265785 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,659495178184581 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,657609118277917 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,656940904476325 )
J Am Med Inform Assoc - Content and functional specifications for a standards-based multidisciplinary rounding tool to maintain continuity across acute and critical care. ( 0,656179404699315 )
J Med Syst - Advanced nurse-patient communication system. ( 0,655281987570787 )
Int J Med Inform - Technology-mediated awareness: facilitating the handling of (un)wanted interruptions in a hospital setting. ( 0,652250714730263 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,651697761988469 )
Comput. Biol. Med. - Development of an advanced database for clinical trials integrated with an electronic patient record system. ( 0,651404117125552 )
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. ( 0,650809502275949 )
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. ( 0,64936551460013 )
J Am Med Inform Assoc - Using the time and motion method to study clinical work processes and workflow: methodological inconsistencies and a call for standardized research. ( 0,648048530931426 )
AMIA Annu Symp Proc - A software communication tool for the tele-ICU. ( 0,647915103726848 )
J Am Med Inform Assoc - A patient-centered longitudinal care plan: vision versus reality. ( 0,64619070201357 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,644432853945093 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,644243978792135 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,643861856781796 )
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. ( 0,643708293655503 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,641717782346739 )
Res Synth Methods - Information retrieval for ecological syntheses. ( 0,639786475538104 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,637776665413677 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,637449177433933 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,636010696017813 )
Healthc (Amst) - An exploration of management practices in hospitals. ( 0,635320064850847 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,632534797463235 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,632452175775881 )
Telemed J E Health - Analysis of the impact of the Birmingham OwnHealth program on secondary care utilization and cost: a retrospective cohort study. ( 0,632316016286531 )
BMC Med Inform Decis Mak - A systematic review of speech recognition technology in health care. ( 0,632001537344005 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,631236224826424 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,630971142407392 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,630709301012517 )
J Biomed Inform - Development of the nursing problem list subset of SNOMED CT?. ( 0,629746076998637 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,627858245661636 )
Int J Med Inform - Does an integrated Emergency Department Information System change the sequence of clinical work? A mixed-method cross-site study. ( 0,627253191695557 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,626443452707203 )
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. ( 0,625992606266282 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,623878389602396 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,623749148976327 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,622781176061412 )
BMC Med Inform Decis Mak - Addressing tensions when popular media and evidence-based care collide. ( 0,62082223807354 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,620286565173611 )
Perspect Health Inf Manag - Incorporating patient perspectives into the personal health record: implications for care and caring. ( 0,616785560721181 )
J Am Med Inform Assoc - The effects of a hands-free communication device system in a surgical suite. ( 0,616380347696925 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,615407834033384 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,615324338343381 )
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. ( 0,614774713596496 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,613207754631368 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,612247772102404 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,611867453049115 )
Int J Med Inform - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. ( 0,609991711440172 )
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. ( 0,608766921466418 )
J Biomed Inform - Understanding infusion administration in the ICU through Distributed Cognition. ( 0,607024682822873 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,606376305101992 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,60401909704999 )
Telemed J E Health - Centralized monitoring and virtual consultant models of tele-ICU care: a side-by-side review. ( 0,603438660896809 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,602019823851332 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,600559490301603 )
Telemed J E Health - centralized monitoring and virtual consultant models of tele-icu care: a systematic review. ( 0,600187708195285 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,598143575843645 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,597967881453903 )
Telemed J E Health - Telehealth in primary healthcare: an analysis of Belo Horizonte's experience. ( 0,597494034318804 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,597471881554457 )
J Biomed Inform - Proclets in healthcare. ( 0,597452704632516 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,59649289086899 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,596377983662952 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,596088594059693 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,596044457330592 )
AMIA Annu Symp Proc - Variations in patient portal adoption in four primary care practices. ( 0,595092025975093 )
Int J Med Inform - Improving clinical trial accrual by streamlining the referral process. ( 0,59432444257502 )
Res Synth Methods - Quality assessment of qualitative evidence for systematic review and synthesis: Is it meaningful, and if so, how should it be performed? ( 0,594079450582632 )
J Telemed Telecare - Evaluation of an off-the-shelf mobile telemedicine model in emergency department wound assessment and management. ( 0,59385023262786 )