Paper Info
Title
Building a common ground on the clinical case: design, implementation and evaluation of an information model for a Handover EHR.
Abstract
Handovers need a common ground on the clinical cases between the members of the successive shifts to establish continuity of care. Conventional electronic patient record systems (EHR) proved to be only insufficiently suitable for supporting the grounding process. Against this background we proposed a basic concept for a handover EHR that extends general EHRs in particular openEHR based systems. The resulting handover information model was implemented in a database and evaluated based on 120 clinical cases. The information items of these cases could be mapped successfully to the model, however, the new class "anticipatory guidance" needed to be introduced. The evaluation also demonstrated the importance of highly aggregated information on the clinical case, opinions and meta-information such as the relevance of an item during handovers. Based on these findings, in particular the handover database, handover EHR applications are currently developed to support the grounding process.
Year
DOI
Venue
2014
10.3233/978-1-61499-415-2-167
Studies in Health Technology and Informatics
Keywords
Field
DocType
Handover,electronic health record,communication,common ground
Computer science,Information model,Common ground,Database,Handover,Process management
Conference
Volume
ISSN
Citations 
201
0926-9630
0
PageRank 
References 
Authors
0.34
0
3
Name
Order
Citations
PageRank
Daniel Flemming1193.18
Mareike Paul200.34
Ursula Hübner348.66