Int J Med Inform - Multi-professional patterns and methods of communication during patient handoffs.

Tópicos

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

Resumo

JECTIVE: Health information technology has been shown to influence the communication patterns of healthcare providers. The goal of this study was to learn more about how healthcare providers communicate and exchange patient clinical information during patient handoffs (transfers) between units in an acute care setting.METHODS: Convenience sampling was used to select five patient handoffs. Questionnaires were distributed to providers identified through observation and snowball sampling. Social network analysis methodology was used to develop sociograms of the emergent communication patterns and identify the role of individual providers in the handoff process based on the number of contacts with other providers and incoming and outgoing communication activity. Individual handoff network size ranged from 11 to 20 providers. Participants were asked to describe the method of communication they used to access or share clinical information with other providers, their preferred method of communication; their satisfaction with the available options; and their suggestions for how the process could be improved.RESULTS: The network patterns that emerged uncovered the overlapping use of synchronous and asynchronous communication methods (verbally via phone or in person; or written via paper charts and/or an electronic records). No particular professional group dominated or coordinated information flow; instead each handoff network exhibited unique communication patterns and information coordination by two or more influential providers from nursing, medicine, or pharmacy. Most (84%) participants preferred verbal communication. Overall satisfaction with the current communication process varied by unit: 82% of emergency department providers and 54% of the providers working in the admitting units stated they were satisfied or very satisfied. Recommendations for improvement included converting all units to the electronic health record, electronic handoff communication modules and asynchronous multi-professional communication logs.CONCLUSIONS: The results of this exploratory study provide a foundation for future research examining how network structure and communication principles can be used to design health information technology that compliments the non-linear information gathering and dissemination behaviors of providers from multiple professions.

Resumo Limpo

jectiv health inform technolog shown influenc communic pattern healthcar provid goal studi learn healthcar provid communic exchang patient clinic inform patient handoff transfer unit acut care settingmethod conveni sampl use select five patient handoff questionnair distribut provid identifi observ snowbal sampl social network analysi methodolog use develop sociogram emerg communic pattern identifi role individu provid handoff process base number contact provid incom outgo communic activ individu handoff network size rang provid particip ask describ method communic use access share clinic inform provid prefer method communic satisfact avail option suggest process improvedresult network pattern emerg uncov overlap use synchron asynchron communic method verbal via phone person written via paper chart andor electron record particular profession group domin coordin inform flow instead handoff network exhibit uniqu communic pattern inform coordin two influenti provid nurs medicin pharmaci particip prefer verbal communic overal satisfact current communic process vari unit emerg depart provid provid work admit unit state satisfi satisfi recommend improv includ convert unit electron health record electron handoff communic modul asynchron multiprofession communic logsconclus result exploratori studi provid foundat futur research examin network structur communic principl can use design health inform technolog compliment nonlinear inform gather dissemin behavior provid multipl profess

Resumos Similares

Int J Med Inform - Paper persistence, workarounds, and communication breakdowns in computerized consultation management. ( 0,746987268187654 )
Telemed J E Health - The Maniapure Program--lessons learned from a rural experience: two decades delivering primary healthcare through telemedicine. ( 0,741422106154647 )
J Telemed Telecare - A tele-oncology model replacing face-to-face specialist cancer care: perspectives of patients in North Queensland. ( 0,735298874540302 )
J. Med. Internet Res. - The Computer-Assisted Brief Intervention for Tobacco (CABIT) program: a pilot study. ( 0,732639160496262 )
Telemed J E Health - Improving stroke outcomes in rural areas through telestroke programs: an examination of barriers, facilitators, and state policies. ( 0,731585468843578 )
AMIA Annu Symp Proc - Supporting information use and retention of pre-hospital information during trauma resuscitation: a qualitative study of pre-hospital communications and information needs. ( 0,721325599613268 )
J Med Syst - Design and development of a Telephone-Linked Care (TLC) system to reduce impulsivity among violent forensic outpatients and probationers. ( 0,719719918978974 )
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. ( 0,719388400528416 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,719119386157434 )
Telemed J E Health - Providers' perspectives: utilizing telepsychiatry in schools. ( 0,712444342459783 )
J Telemed Telecare - Use of home telehealth in palliative cancer care: a case study. ( 0,711195660672691 )
Telemed J E Health - Teledermatology operational considerations, challenges, and benefits: the referring providers' perspective. ( 0,705896357289637 )
Telemed J E Health - Content and style comparison of physician communication in teledermatology and in-person visits. ( 0,705795072152256 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,701201704598433 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,697138490093559 )
Telemed J E Health - Barriers and facilitators to pediatric emergency telemedicine in the United States. ( 0,691545828920765 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,691496550367371 )
BMC Med Inform Decis Mak - A dialogue-based Web application enhances personalized access to healthcare professionals--an intervention study. ( 0,689252058407264 )
Healthc (Amst) - An exploration of management practices in hospitals. ( 0,688378443668182 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,688008713474918 )
Telemed J E Health - The impact of modern telecommunication in palliative care--the views of the professionals. ( 0,681036069275677 )
Telemed J E Health - State primary stroke center policies in the United States: rural health issues. ( 0,680448689914314 )
Telemed J E Health - Telemedicine in an academic center--the Arizona Telemedicine Program. ( 0,679116503324003 )
Telemed J E Health - Acceptability of the consumer-centric u-health services for patients with chronic obstructive pulmonary disease. ( 0,677753049083841 )
J. Med. Internet Res. - Primary care providers' perspectives on online weight-loss programs: a big wish list. ( 0,676786542164917 )
Telemed J E Health - Private payer telehealth reimbursement in the United States. ( 0,675184494880357 )
Telemed J E Health - An independent investigation into the deployment of the federal communications commissions' rural health care pilot program. ( 0,672047275681534 )
J. Med. Internet Res. - Video consultation use by Australian general practitioners: video vignette study. ( 0,669386563512088 )
J Telemed Telecare - A qualitative study of ethical, medico-legal and clinical governance matters in Australian telehealth services. ( 0,6692418937721 )
Int J Med Inform - Telemedicine: technology mediated service relationship, encounter, or something else? ( 0,668622940660487 )
J Telemed Telecare - A telephone survey of patient satisfaction with realtime telemedicine in a rural community in Colombia. ( 0,666545301094505 )
AMIA Annu Symp Proc - Participatory Design and Development of a Patient-centered Toolkit to Engage Hospitalized Patients and Care Partners in their Plan of Care. ( 0,664244453301037 )
Telemed J E Health - Engaging patients via mobile phone technology to assist follow-up after hospitalization in Quito, Ecuador. ( 0,664057485359903 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,66039310669318 )
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. ( 0,659652557672631 )
J Telemed Telecare - A pilot study of the effectiveness of home teleconsultations in paediatric palliative care. ( 0,658557532486047 )
J Telemed Telecare - Use of videoconferencing for consultation in dental prosthetics and oral rehabilitation. ( 0,657332328786051 )
BMC Med Inform Decis Mak - A pilot with computer-assisted psychosocial risk-assessment for refugees. ( 0,655511657321246 )
Telemed J E Health - The design, implementation, and operational management of a comprehensive quality management program to support national telehealth networks. ( 0,650175546465127 )
J Telemed Telecare - Need and feasibility of telemedicine in non-urban day care centres. ( 0,644567071361895 )
J Telemed Telecare - Patients' experiences of telerehabilitation at home after shoulder joint replacement. ( 0,642467106710888 )
Telemed J E Health - Potential role of telemedical service centers in managing remote monitoring data transmitted daily by cardiac implantable electronic devices: results of the early detection of cardiovascular events in device patients with heart failure (detecT-Pilot) study. ( 0,64231886488175 )
BMC Med Inform Decis Mak - Improving the effectiveness of electronic health record-based referral processes. ( 0,639932085762809 )
Telemed J E Health - Giving voice: Evaluation of an integrated telehealth community care model by parents/guardians of children diagnosed with fetal alcohol spectrum disorder in Manitoba. ( 0,639309826724153 )
J Telemed Telecare - Telemedicine in the Solomon Islands: 2006 to 2009. ( 0,63904875410051 )
J Telemed Telecare - Integrating telemedicine instruction into the curriculum: expanding student perspectives of the scope of clinical practice. ( 0,638458104741729 )
BMC Med Inform Decis Mak - Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery: a pragmatic approach to interpret equivocal evidence. ( 0,638417440794377 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,63719337588231 )
Telemed J E Health - Using telehealth for assessment of fetal alcohol spectrum disorder: the experience of two Canadian rural and remote communities. ( 0,637116833145317 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,635366153207161 )
J Telemed Telecare - Practical experience of telehealth between an Antarctic station and Japan. ( 0,634063671885913 )
Telemed J E Health - Smartphone surgery: how technology can transform practice. ( 0,634044388743639 )
Perspect Health Inf Manag - A peach of a telehealth program: Georgia connects rural communities to better healthcare. ( 0,633975818932395 )
AMIA Annu Symp Proc - Who are portal users vs. early e-Visit adopters? A preliminary analysis. ( 0,63361360945807 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. ( 0,633542295997949 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,633515923846164 )
J Telemed Telecare - Use of a mental health emergency care-rural access programme in emergency departments. ( 0,633495725331664 )
Telemed J E Health - Comparison of parent satisfaction with care for childhood obesity delivered face-to-face and by telemedicine. ( 0,633431227108014 )
Comput Methods Programs Biomed - Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan. ( 0,632949014936539 )
J Telemed Telecare - A study of online consultations for paediatric renal patients in Russia. ( 0,6317089618153 )
Telemed J E Health - Teledermatology patient satisfaction in the Pacific Northwest. ( 0,630844528840004 )
Telemed J E Health - Evaluating the uptake, acceptability, and effectiveness of Uliza! clinicians' HIV hotline: a telephone consultation service in Kenya. ( 0,630803801337434 )
Health Info Libr J - Developing a long-term condition's information service in collaboration with third sector organisations. ( 0,629957044675429 )
J Telemed Telecare - A mobile telemedicine-enabled ear screening service for Indigenous children in Queensland: activity and outcomes in the first three years. ( 0,628187282209447 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,627095534338412 )
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. ( 0,626840042407773 )
Telemed J E Health - Testing a top-down strategy for establishing a sustainable telemedicine program in a developing country: the Arizona telemedicine program-US Army-Republic of Panama Initiative. ( 0,626153224740998 )
J Telemed Telecare - Cost savings and safety of ICD remote control by telephone: a prospective, observational study. ( 0,625904877259004 )
Telemed J E Health - Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers. ( 0,625540847900139 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,625439294114602 )
Telemed J E Health - The business of telemedicine: strategy primer. ( 0,624245131028364 )
J Telemed Telecare - A pharmacist-managed telemedicine clinic for hepatitis C care: a descriptive analysis. ( 0,623587321744324 )
J Telemed Telecare - A feasibility study of a telephone-based screening service for mild cognitive impairment and its uptake by elderly people. ( 0,623524110159299 )
BMC Med Inform Decis Mak - Questionnaire survey about use of an online appointment booking system in one large tertiary public hospital outpatient service center in China. ( 0,623352034174875 )
J Telemed Telecare - Telehealth for nursing homes: the utilization of specialist services for residential care. ( 0,623352034174875 )
J Telemed Telecare - Telehealth opportunities in regional Queensland: a scoping study. ( 0,623097618564505 )
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. ( 0,623069527006876 )
Telemed J E Health - Can an office practice telephonic response meet the needs of a pandemic? ( 0,622930457941211 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,622469463248302 )
J Telemed Telecare - Feasibility of providing nephrology services to remote communities with videoconferencing. ( 0,621826092013758 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,620446344417656 )
J Am Med Inform Assoc - Evaluation of computer-based medical histories taken by patients at home. ( 0,618409850942825 )
Telemed J E Health - Use of telemedicine to improve glycemic management in a skilled nursing facility: a pilot study. ( 0,618360689401042 )
J Telemed Telecare - Safety for home care: the use of internet video calls to double-check interventions. ( 0,615724053720482 )
Telemed J E Health - A survey on electronic communication in pediatric clinics. ( 0,61551432955755 )
Telemed J E Health - The Ontario Telemedicine Network: a case report. ( 0,615431619710359 )
J Telemed Telecare - Experience with telehealth for sleep monitoring and sleep laboratory management. ( 0,614574663195463 )
Telemed J E Health - Teleneurology: successful delivery of chronic neurologic care to 354 patients living remotely in a rural state. ( 0,613645440853103 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,613391335712558 )
Telemed J E Health - Technologies in the patient-centered medical home: examining the model from an enterprise perspective. ( 0,613063340068228 )
J Telemed Telecare - Mobile computing and the quality of home care nursing practice. ( 0,6126783930569 )
J Med Syst - Secure mobile agent for telemedicine based on P2P networks. ( 0,612438883592114 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,611942494856664 )
J Telemed Telecare - A telemedicine network to support paediatric care in small hospitals in rural Tanzania. ( 0,611513186690777 )
BMC Med Inform Decis Mak - Comparing virtual consults to traditional consults using an electronic health record: an observational case-control study. ( 0,610254075148164 )
Telemed J E Health - The feasibility of a community-based mobile telehealth screening service for Aboriginal and Torres Strait Islander children in Australia. ( 0,61014930902435 )
Telemed J E Health - Humour sans frontieres: the feasibility of providing clown care at a distance. ( 0,608288212923254 )
J Telemed Telecare - Eleven years of experience with low-bandwidth telemedicine in a nurse-led rural clinic in Scotland. ( 0,607138667144644 )
Perspect Health Inf Manag - Telepsychiatry in the 21(st) century: transforming healthcare with technology. ( 0,606894902066168 )
Telemed J E Health - Development of implementation strategies for u-health services based on the healthcare professionals' experiences. ( 0,606113152390147 )