Name
Abstract | ||
|---|---|---|
Methods The theoretical frameworks of distributed cognition and the clinical communication space were integrated and a previously published categorization of verbal information exchange was used. 59.5 h of interdisciplinary rounds in a neurovascular ICU were observed and five interviews and one focus group with ICU nurses and physicians were conducted. Results Current documentation tools in the ICU were not sufficient to capture the nurses’ and physicians’ collaborative decision-making and verbal communication of goal-directed actions and interactions. Clinicians perceived the EHR to be inefficient for information retrieval, leading to a further reliance on verbal information exchange. Conclusion The model suggests that EHRs should support: (1) information tools for the explicit documentation of goals, interventions, and assessments with synthesized and summarized information outputs of events and updates; and (2) messaging tools that support collaborative decision-making and patient safety double checks that currently occur between nurses and physicians in the absence of EHR support. |
Year | DOI | Venue |
|---|---|---|
2011 | 10.1016/j.ijmedinf.2010.09.009 | International Journal of Medical Informatics |
Keywords | DocType | Volume |
Model development,Interdisciplinary communication,Intensive care unit,Electronic health record | Journal | 80 |
Issue | ISSN | Citations |
8 | 1386-5056 | 16 |
PageRank | References | Authors |
0.95 | 6 | 5 |
Name | Order | Citations | PageRank |
|---|---|---|---|
| Sarah A Collins | 1 | 56 | 7.10 |
| Suzanne Bakken | 2 | 612 | 111.65 |
| David K. Vawdrey | 3 | 155 | 29.36 |
| Enrico Coiera | 4 | 451 | 55.44 |
| Leanne M Currie | 5 | 393 | 45.48 |