Providers' assessment of a novel interactive health information technology in a pediatric intensive care unit
Providers' assessment of a novel interactive health information technology in a pediatric intensive care unit
复制标题
DOI：
10.1093/jamiaopen/ooy020
复制
发表时间：
2018-07-01
期刊：
影响因子：
2.1
通讯作者：
Scanlon, Matthew C.
中科院分区：
文献类型：
--
作者：
Asan, Onur;Holden, Richard J.;Scanlon, Matthew C.
目的：探讨重症监护提供者对儿科重症监护病房（PICU）环境中新型协作住院健康信息技术（HIT）的看法。方法：在中西部一家大型儿童医院的PICU进行横断面、并行混合方法研究。这项名为大型可定制交互式监视器（LCIM）的技术是一种平板触摸屏监视器，可以显示电子健康记录中经过验证的患者信息。它不需要密码登录，并且可以在每个病人的房间里供医生、护士和家属查看和互动使用。定量数据通过自我管理的标准化调查收集，定性数据通过2015年1月至4月的面对面半结构化访谈收集。数据分析采用描述性统计和归纳性专题分析。结果：定性分析显示LCIM对医疗服务提供者的工作流程、团队互动以及与家庭的互动有积极的影响。提供者报告了他们对患者信息过载以及相关的焦虑和家庭负担的担忧。60%的提供者认为LCIM对他们不同层次的工作有用，近70%的提供者报告说LCIM改善了与家庭的信息共享和沟通。在0到6分的范围内，平均总体满意度得分为3.4分，介于“适度”和“相当”之间。讨论与结论：本研究为儿科住院环境中的协作式医疗卫生服务提供了新的见解，并证明使用这种技术有可能改善医疗服务提供者与家庭的体验，并以更容易与家庭共享的格式及时获取电子病历信息。
Objective: To explore perceptions of critical care providers about a novel collaborative inpatient health information technology (HIT) in a pediatric intensive care unit (PICU) setting.Methods: This cross-sectional, concurrent mixed methods study was conducted in the PICU of a large midwestern children's hospital. The technology, the Large Customizable Interactive Monitor (LCIM), is a flat panel touch screen monitor that displays validated patient information from the electronic health record. It does not require a password to login and is available in each patient's room for viewing and interactive use by physicians, nurses, and families. Quantitative data were collected via self-administered, standardized surveys, and qualitative data via in-person, semistructured interviews between January and April 2015. Data were analyzed using descriptive statistics and inductive thematic analysis.Results: The qualitative analysis showed positive impacts of the LCIM on providers' workflow, team interactions, and interactions with families. Providers reported concerns regarding perceived patient information overload and associated anxiety and burden for families. Sixty percent of providers thought that LCIM was useful for their jobs at different levels, and almost 70% of providers reported that LCIM improved information sharing and communication with families. The average overall satisfaction score was 3.4 on a 0 to 6 scale, between "a moderate amount" and "pretty much."Discussion and Conclusion: This study provides new insight into collaborative HIT in the inpatient pediatric setting and demonstrates that using such technology has the potential to improve providers' experiences with families and just-in-time access to EHR information in a format more easily shared with families.