| Discuss now, document later: CIS/CPOE perceived to be a 'shift behind' in the ICU. | |
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MedLine Citation:
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PMID: 20841673 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Effective communication is essential to safe and efficient patient care. We aimed to understand the current patterns and perceptions of communication of common goals in the ICU using the distributed cognition and clinical communication space theoretical frameworks. We conducted a focus group and 5 interviews with ICU clinicians and observed 59.5 hours of interdisciplinary ICU morning rounds. Clinicians used a CIS/CPOE system and paper artifacts for documentation; yet, preferred verbal communication as a method of information exchange because they perceived that the documentation was often not updated or efficient for information retrieval. These perceptions that the CIS/CPOE is a "shift behind" may lead to a further reliance on verbal information exchange, which is a valuable clinical communication activity, yet, is subject to information loss. Electronic documentation tools that, in real time, capture information that is currently verbally communicated may increase the effectiveness of communication. |
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Authors:
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Sarah Collins; Suzanne Bakken; David Vawdrey; Enrico Coiera; Leanne M Currie |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Studies in health technology and informatics Volume: 160 ISSN: 0926-9630 ISO Abbreviation: Stud Health Technol Inform Publication Date: 2010 |
Date Detail:
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Created Date: 2010-09-15 Completed Date: 2010-12-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214582 Medline TA: Stud Health Technol Inform Country: Netherlands |
Other Details:
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Languages: eng Pagination: 178-82 Citation Subset: T |
Affiliation:
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Department of Biomedical Informatics, Columbia University, School of Nursing, and New York Presbyterian Hospital, New York, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Clinical Laboratory Information Systems / utilization* Documentation / methods* Electronic Health Records / utilization* Medical Order Entry Systems / utilization* New York Physician's Practice Patterns / statistics & numerical data* Utilization Review |
| Grant Support | |
ID/Acronym/Agency:
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T15 LM 007079/LM/NLM NIH HHS; T32NR007969/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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