Information exchange in the NICU: what sources of patient data do physicians prefer to use?
Information exchange in the NICU: what sources of patient data do physicians prefer to use?
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DOI：
10.1016/j.ijmedinf.2004.03.001
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发表时间：
2004-05-01
影响因子：
4.9
通讯作者：
Novicoff, W
中科院分区：
文献类型：
--
作者：
Brown, PJ;Borowitz, SM;Novicoff, W
背景：对于医生在新生儿重症监护病房（NICU）使用的患者信息来源的理解存在显著差距。目的：对某学术医疗中心新生儿重症监护室医师信息寻求行为自述进行定性研究。方法：该研究采用调查设计来评估住院医师和教师医师对他们使用书面和口头患者信息来源的看法。教师和住院医师的反应通过t检验进行比较，以评估这两组之间对信息寻求行为的看法可能有何不同。结果：在我们的调查中列出的选项中，三个最常报告的信息来源是：(1)床边流程；(2)与住院医师的对话；(3)与护士的对话。医生写的病历——尤其是住院医生的病历——是被报道最少的病人信息来源。结论：医师对言语沟通的偏好与以往研究一致。本研究表明，床旁流程表也是一个重要的信息来源，而其他书面来源——尤其是住院笔记——似乎不常被使用。了解医生使用或不使用不同患者信息来源的原因可能有助于改善信息交换和减少在新生儿重症监护病房等复杂环境中的医疗错误。2004爱思唯尔爱尔兰有限公司版权所有。
Background: There are significant gaps in understanding what sources of patient information physicians utilize in the Neonatal Intensive Care Unit (NICU). Objective: We conducted a qualitative study of physicians' self-report of information-seeking behaviors in the NICU of an academic medical center. Methods: The study used a survey design to assess resident and faculty physicians' perceptions of their utilization of written and verbal sources of patient information. Faculty and resident responses were compared by t-tests to assess how perceptions of information-seeking behavior might differ between these two groups. Results: Of the options listed in our survey, the three most commonly reported information sources were: (1) the bedside flowsheet; (2) conversations with resident physicians; and (3) conversations with nurses. Notes written by physicians-especiatty resident notes-were the least reported source of patient information. Conclusions: Physicians' preference to use verbal communication is consistent with prior studies. This study identifies that the bedside flowsheet is also an important source of information, while other written sources-especially resident notes-appear not to be utilized as frequently. Understanding why physicians use or fail to use different sources of patient information may shed light on ways to improve information exchange and reduce medical error in complex settings such as the NICU. (C) 2004 Elsevier Ireland Ltd. All rights reserved.