Challenges to inter-departmental coordination of patient transfers: A workflow perspective

被引:51
作者
Abraham, Joanna [1 ]
Reddy, Madhu C. [1 ]
机构
[1] Penn State Univ, Coll Informat Sci & Technol, University Pk, PA 16802 USA
关键词
Cooperative behavior; Inter-departmental workflows; Patient transfers; Coordination; Information management; Clinical and non-clinical departments; Qualitative study; HEALTH-CARE; SOCIOTECHNICAL SYSTEMS;
D O I
10.1016/j.ijmedinf.2009.11.001
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objective: The purpose of this study is to identify challenges to inter-departmental coordination activities that affect patient transfer workflow and to provide socio-technical requirements for the design of technologies to better support patient transfer workflow. Design: We conducted our study in two clinical and one non-clinical department at a major academic hospital. We utilized qualitative data collection techniques including observations of patient transfer practices of the different departments and interviews with departmental staff to collect data on the inter-departmental coordination activities and its effect on patient transfer workflow. Results: We identified three inter-departmental challenges that affected the patient transfer workflow: ineffective inter-departmental interactions, ineffective information handoffs, and ineffectiveness of current information technologies. Discussion: To address these challenges, we discuss three socio-technical design requirements that designers need to pay attention to while developing inter-departmental healthcare information systems. To ensure effective inter-departmental coordination, the systems should incorporate features that can support the mediating role of integrators, the collaborative balancing of goals, and the collaborative prioritization of resources. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:112 / 122
页数:11
相关论文
共 44 条
[1]   Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care [J].
Aarts, Jos ;
Ash, Joan ;
Berg, Marc .
International Journal of Medical Informatics, 2007, 76 (SUPPL. 1) :S4-S13
[2]   A qualitative study of the implementation of a bioinformatics tool in a biological research laboratory [J].
Anderson, Nicholas R. ;
Ash, Joan S. ;
Tarczy-Hornoch, Peter .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2007, 76 (11-12) :821-828
[3]  
[Anonymous], INDIAN J DERMATOLOGY
[4]   Some unintended consequences of information technology in health care: The nature of patient care information system-related errors [J].
Ash, JS ;
Berg, M ;
Coiera, E .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2004, 11 (02) :104-112
[5]  
ASH JS, 2006, AMIA ANN S P
[6]  
Bellotti V., 1992, P ACM C COMP SUPP CO, P107, DOI [10.1145/143457.143468, DOI 10.1145/143457.143468]
[7]  
Berg M, 2003, METHOD INFORM MED, V42, P297
[8]   Test the artefact - Develop the organization - The implementation of an electronic medication plan [J].
Bossen, Claus .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2007, 76 (01) :13-21
[9]  
Brixey Juliana J, 2005, AMIA Annu Symp Proc, P86
[10]  
Brown C, 1998, Linking intra-organizational stakeholders: CIO perspectives on tfle use of coordination mechanisms