کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
518680 867608 2012 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
In search of common ground in handoff documentation in an Intensive Care Unit
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
پیش نمایش صفحه اول مقاله
In search of common ground in handoff documentation in an Intensive Care Unit
چکیده انگلیسی

ObjectiveHandoff is an intra-disciplinary process, yet the flow of critical handoff information spans multiple disciplines. Understanding this information flow is important for the development of computer-based tools that supports the communication and coordination of patient care in a multi-disciplinary and highly specialized critical care setting. We aimed to understand the structure, functionality, and content of nurses’ and physicians’ handoff artifacts.DesignWe analyzed 22 nurses’ and physicians’ handoff artifacts from a Cardiothoracic Intensive Care Unit (CTICU) at a large urban medical center. We combined artifact analysis with semantic coding based on our published Interdisciplinary Handoff Information Coding (IHIC) framework for a novel two-step data analysis approach.ResultsWe found a high degree of structure and overlap in the content of nursing and physician artifacts. Our findings demonstrated a non-technical, yet sophisticated, system with a high degree of structure for the organization and communication of patient data that functions to coordinate the work of multiple disciplines in a highly specialized unit of patient care.LimitationsThis study took place in one CTICU. Further work is needed to determine the generalizability of the results.ConclusionsOur findings indicate that the development of semi-structured patient-centered interdisciplinary handoff tools with discipline specific views customized for specialty settings may effectively support handoff communication and patient safety.

Figure optionsDownload high-quality image (78 K)Download as PowerPoint slideHighlights
► There is a high degree of structure in nursing and physician artifacts in critical care.
► There is a high degree of content overlap between nursing and physician artifacts in critical care.
► Critical care handoff is non-technical, yet sophisticated, with a high degree of standardization.
► Handoff artifacts organize patient data to support communication and coordinate work.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Biomedical Informatics - Volume 45, Issue 2, April 2012, Pages 307–315
نویسندگان
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