| Título: | Impact of a Clinical Information System on Multitasking in Two Intensive Care Units |
| Autores: |
Ballermann, Mark; Alberta Health Services, Edmonton, AB Canada Shaw, Nicola T; Health Informatics Institute, Algoma University, Sault Ste. Marie, ON, Canada Mayes, Damon C; Alberta Health Services, Edmonton, AB Canada Gibney, R T Noel; Division of Critical Care Medicine, Faculty of Medicine & Dentistry, University of Alberta |
| Fecha: | 2011-04-12 |
| Publicador: | Electronic journal of health informatics |
| Fuente: |
 |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Critical Care Information System; Time-motion; Clinical Information System; Medical Informatics |
| Descripción: | Health Care Providers (HCPs) in Intensive Care Units (ICUs) communicate effectively to coordinate timely patient care. HCPs rapidly switch between patient care, documentation and communication tasks such that they are completed simultaneously or nearly simultaneously, a phenomenon termed multitasking. An electronic charting tool or Critical Care clinical Information System (CCIS) may facilitate information sharing, but system related changes in multitasking have not been investigated. Trained observers followed physicians, nurses, respiratory therapists, and unit clerks in two ICUs and recorded their tasks. Observations were completed before the introduction of the CCIS at 3 and at 12 months afterward, using the Work Observation Method By Activity Timing (WOMBAT). Amounts of time HCPs spent performing multitasking before and after the CCIS introduction were compared, along with the tasks composing multitasking events. Before the CCIS introduction, respiratory therapists, nurses, and physicians spent approximately 30-40% of their time multitasking, whereas unit clerks spent less time multitasking (14%-18%). Percentages of time spent multitasking decreased to values between 10% and 25%. Documentation and communication tasks accounted for large proportions of the multitasking reduction. Cognitive burdens associated with learning new documentation methods, or constraints of charting at bedside terminals may be causes of observed reductions in multitasking. Perceptions of poorer communication, lower productivity, and less staff acceptance of the CCIS may result. |
| Idioma: | Inglés |
1 Editor's Introduction to this Journal: Advancing Health Informatics and the Use of Information, Knowledge and Communication Technologies in Health Care por Hovenga, Evelyn JS; Health Informatics Research Group, Central Queensland University | 6 Empowering Patients through Personal Health Records: A Survey of Existing Third-Party Web-Based PHR Products por Helmer, Axel; OFFIS,Lipprandt, Myriam,Frenken, Thomas; OFFIS,Eichelberg, Marco; OFFIS,Hein, Andreas; OFFIS, University of Oldenburg |
2 An Encrypted Email Application for Paediatric and Adolescent Mental Health Teleconsultations por Caffery, Liam Joseph; Centre for Online Health, University of Queensland, Brisbane, Australia,Stathis, Stephen; Child and Youth Mental Health Services, Royal Children's Hospital, University of Queensland, Brisbane, Australia,Smith, Anthony C; Centre for Online Health, University of Queensland, Brisbane, Australia | 7 From Troubleshooting to EMR Optimization: IT Support in a General Practice Setting por Tolar, Marianne; Assessment of Technology in Context Design Lab, School of Communication, Simon Fraser University,
Burnaby BC, Canada,Balka, Ellen; Assessment of Technology in Context Design Lab, School of Communication, Simon Fraser University,
Burnaby BC, Canada
Centre for Clinical Epidemiology & Evaluation, Vancouver BC, Canada |
3 Videophone Delivery of Medication Management in Community Nursing por Wade, Victoria Anne; Discipline of Public Health, University of Adelaide, South Australia,Izzo, Jo; Royal District Nursing Service of South Australia,Hamlyn, Jeremy; VidCo | 8 Health Information-seeking Behaviour on the Internet and Health Literacy among Older Australians por Lam, Mary K; The University of Sydney,Lam, Lawrence T; The University of Notre Dame Australia |
4 The use of standard content specifications in a national health interoperability framework por Heard, Sam; University College London | 9 Epidemiological data mining of cardiovascular Bayesian networks por Twardy, Charles R; Clayton School of Information Technology, Monash University,Nicholson, Ann E; Clayton School of Information Technology, Monash University,Korb, Kevin B; Clayton School of Information Technology, Monash University,McNeil, John; Department of Epidemiology & Preventive Medicine, Monash University |
5 A SpatioTemporal Model for Seasonal Influenza por Edlund, Stefan; IBM Almaden Research Center,Bromberg, Michal; Israel Center for Disease Control,Chodick, Gabriel; Maccabi Health Care Services,Douglas, Judith; IBM Almaden Research Center,Ford, Daniel; IBM Almaden Research Center,Kaufman, Zalman; Israel Center for Disease Control,Lessler, Justin; Johns Hopkins School of Public Health,Marom, Rachel; Maccabi Health Care Services,Mesika, Yossi; IBM Haifa Research Center,Ram, Roni; IBM Haifa Research Center,Shalev, Varda; Maccabi Health Care Services,Kaufman, James; IBM Almaden Research Center | 10 Managing archetypes for sustainable and semantically interoperable electronic health records por Garde, Sebastian; Health Informatics Research Group, Central Queensland University; ACACI Austin Health,Hovenga, Evelyn JS; Health Informatics Research Group, Central Queensland University,Gränz, Jana; Health Informatics Research Group, Central Queensland University; University of Applied Sciences Ulm, Germany,Foozonkhah, Shahla; Health Informatics Research Group, Central Queensland University; Tabriz Medical Sciences University, Tabriz, Iran,Heard, Sam; Health Informatics Research Group, Central Queensland University; Ocean Informatics |