Challenges to inter-departmental coordination of patient transfers: a workflow perspective.
Int J Med Inform
; 79(2): 112-22, 2010 Feb.
Article
em En
| MEDLINE
| ID: mdl-20005771
ABSTRACT
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transferência de Pacientes
/
Sistemas Computadorizados de Registros Médicos
/
Competência Clínica
/
Continuidade da Assistência ao Paciente
/
Sistemas de Apoio a Decisões Clínicas
/
Centros Médicos Acadêmicos
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article