Using Electronic Patient Records in ICU Ward Rounds
Author Information
Author(s): Cecily Morrison, Matthew Jones, Alan Blackwell, Alain Vuylsteke
Primary Institution: University of Cambridge
Hypothesis
How does interaction during clinical ward rounds vary when an EPR is used in place of a paper record?
Conclusion
The introduction of an electronic patient record disrupted the way the multidisciplinary team organized itself, leading to decreased interaction and participation during ward rounds.
Supporting Evidence
- EPRs are designed for single users but are often used by groups during ward rounds.
- Group formation affects who speaks and what is discussed during ward rounds.
- The consultant's ability to direct conversation decreased with the use of EPR.
- Changes in interaction patterns were observed after the introduction of EPR.
Takeaway
When doctors use computers during patient check-ups, it can make it harder for them to talk to each other. This study looked at how using a computer instead of paper changed their conversations.
Methodology
A qualitative study using video-based interaction analysis, observation, and interviews during ward rounds in an intensive care unit.
Potential Biases
The researchers' observations may have influenced the behavior of the medical staff during the study.
Limitations
The study did not include patient data or interaction, and the researchers were not funded by the hospital.
Participant Demographics
Participants included medical and nursing staff from various roles in the ICU.
Digital Object Identifier (DOI)
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