Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records

被引:35
|
作者
Bardach, Shoshana H. [1 ,2 ]
Real, Kevin [3 ]
Bardach, David R. [4 ]
机构
[1] Univ Kentucky, Grad Ctr Gerontol, Lexington, KY 40504 USA
[2] Univ Kentucky, Sanders Brown Ctr Aging, 1030 S Broadway,Suite 5, Lexington, KY 40504 USA
[3] Univ Kentucky, Coll Commun & Informat, Lexington, KY 40504 USA
[4] Natl Comm Qual Assurance, Washington, DC USA
关键词
Focus groups; interprofessional collaboration; interprofessional communication; qualitative research; INFORMATION-TECHNOLOGY; IMPACT; PERCEPTIONS; OUTCOMES; SAFETY; SYSTEM; WORK;
D O I
10.1080/13561820.2016.1269312
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Contemporary state-of-the-art healthcare facilities are incorporating technology into their building design to improve communication and patient care. However, technological innovations may also have unintended consequences. This study seeks to better understand how technology influences interprofessional communication within a hospital setting based in the United States. Nine focus groups were conducted including a range of healthcare professions. The focus groups explored practitioners' experiences working on two floors of a newly designed hospital and included questions about the ways in which technology shaped communication with other healthcare professionals. All focus groups were recorded, transcribed, and coded to identify themes. Participant responses focused on the electronic medical record, and while some benefits of the electronic medical record were discussed, participants indicated use of the electronic medical record has resulted in a reduction of in-person communication. Different charting approaches resulted in barriers to communication between specialties and reduced confidence that other practitioners had received one's notes. Limitations in technologyincluding limited computer availability, documentation complexity, and sluggish sign-in processesalso were identified as barriers to effective and timely communication between practitioners. Given the ways in which technology shapes interprofessional communication, future research should explore how to create standardised electronic medical record use across professions at the optimal level to support communication and patient care.
引用
收藏
页码:300 / 306
页数:7
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