کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
516309 1449164 2010 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of extent of use, information accuracy, and functions for manual and electronic patient status boards
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
پیش نمایش صفحه اول مقاله
Comparison of extent of use, information accuracy, and functions for manual and electronic patient status boards
چکیده انگلیسی

PurposeElectronic software packages to support patient tracking and disposition decision making in emergency departments (EDs) are being considered for implementation in many hospitals. We compared extent of use, information accuracy, and functions of manual and electronic patient status boards at 2 EDs where both were continuously in use.MethodsEthnographic observations were conducted at 2 Veterans Affairs Medical Center Emergency Departments using both manual and electronic patient status boards (100 h, 9 physicians at Site 1; 64 h, 14 physicians at Site 2). Data included board information collected at 20-min intervals, observable behavior while using boards, and interviews.ResultsFew physicians (3/9 [33%] Site 1; 0/14 [0%] Site 2) used the e-board, whereas all physicians used the whiteboards. Whiteboards had fewer inaccuracies (6/462 [1%] Site 1; 21/864 [3%] Site 2) than e-boards (62/462 [13%] Site 1; 107/864 [12%] Site 2). The primary functions of the whiteboard were to track real-time changes to patient identifiers, locations, nursing assignments, and pending activities; facilitate patient handoffs; inform physicians and nurses about newly arrived patients assigned to them; inform nurses of physicians’ orders; and inform physicians of the status of ordered items. The primary functions of the e-board were to support electronic data entry (by clerks) of patient admitting and departure times; and highlight patients who had been in the ED for longer than 6 h.ConclusionsWhiteboards were more extensively used and had greater information accuracy than e-boards. Nevertheless, e-boards provided functionality not easily achievable with whiteboards.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Medical Informatics - Volume 79, Issue 12, December 2010, Pages 817–823
نویسندگان
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