Information Environments for Supporting Consistent Registrar Medical Handover
This study was two-fold in nature. Initially, it examined the information environment and the use of customary information tools to support medical handovers in a large metropolitan teaching hospital on four weekends (i.e. Friday night to Monday morning). Weekend medical handovers were found to invo...
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| Veröffentlicht in: | Health Information Management Journal 2008-01, Vol.37 (1), p.9-24 |
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| container_title | Health Information Management Journal |
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| creator | Alem, Leila Joseph, Michele Kethers, Stefanie Steele, Cathie Wilkinson, Ross |
| description | This study was two-fold in nature. Initially, it examined the information environment and the use of customary information tools to support medical handovers in a large metropolitan teaching hospital on four weekends (i.e. Friday night to Monday morning). Weekend medical handovers were found to involve sequences of handovers where patients were discussed at the discretion of the doctor handing over; no reliable discussion of all patients of concern occurred at any one handover, with few information tools being used; and after a set of weekend handovers, there was no complete picture on a Monday morning without an analysis of all patient progress notes. In a subsequent case study, three information tools specifically designed as intervention that attempted to enrich the information environment were evaluated. Results indicate that these tools did support greater continuity in who was discussed but not in what was discussed at handover. After the intervention, if a doctor discussed a patient at handover, that patient was more likely to be discussed at subsequent handovers. However, the picture at Monday morning remained fragmentary. The results are discussed in terms of the complexities inherent in the handover process. |
| doi_str_mv | 10.1177/183335830803700102 |
| format | Article |
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Initially, it examined the information environment and the use of customary information tools to support medical handovers in a large metropolitan teaching hospital on four weekends (i.e. Friday night to Monday morning). Weekend medical handovers were found to involve sequences of handovers where patients were discussed at the discretion of the doctor handing over; no reliable discussion of all patients of concern occurred at any one handover, with few information tools being used; and after a set of weekend handovers, there was no complete picture on a Monday morning without an analysis of all patient progress notes. In a subsequent case study, three information tools specifically designed as intervention that attempted to enrich the information environment were evaluated. Results indicate that these tools did support greater continuity in who was discussed but not in what was discussed at handover. After the intervention, if a doctor discussed a patient at handover, that patient was more likely to be discussed at subsequent handovers. However, the picture at Monday morning remained fragmentary. The results are discussed in terms of the complexities inherent in the handover process.</description><identifier>ISSN: 1833-3583</identifier><identifier>EISSN: 1322-4913</identifier><identifier>EISSN: 1833-3575</identifier><identifier>DOI: 10.1177/183335830803700102</identifier><identifier>PMID: 18245861</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Communication systems ; Continuity of Patient Care - organization & administration ; Data processing ; Employee training ; Forms and Records Control - methods ; Health administration ; Hospital information systems ; Hospital Information Systems - standards ; Hospitals ; Hospitals, Teaching ; Hospitals, Urban ; Humans ; Information storage and retrieval systems ; Interdisciplinary Communication ; Management ; Medical personnel ; Medical record personnel ; Medical records ; Medical Records - standards ; Medical staff ; Medical Staff, Hospital ; Observation ; Organizational Case Studies ; Physician practice patterns ; Pilot Projects ; Process Assessment (Health Care) ; Technology application ; Victoria</subject><ispartof>Health Information Management Journal, 2008-01, Vol.37 (1), p.9-24</ispartof><rights>2008 Health Information Management Association of Australia Limited</rights><rights>COPYRIGHT 2008 Sage Publications Ltd. (UK)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c619t-cac0e0ba7c34cec149cab07afd75fca144c2e20cca81aad920e10b383d0a59893</citedby><cites>FETCH-LOGICAL-c619t-cac0e0ba7c34cec149cab07afd75fca144c2e20cca81aad920e10b383d0a59893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/183335830803700102$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/183335830803700102$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>313,314,780,784,792,21819,27922,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18245861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alem, Leila</creatorcontrib><creatorcontrib>Joseph, Michele</creatorcontrib><creatorcontrib>Kethers, Stefanie</creatorcontrib><creatorcontrib>Steele, Cathie</creatorcontrib><creatorcontrib>Wilkinson, Ross</creatorcontrib><title>Information Environments for Supporting Consistent Registrar Medical Handover</title><title>Health Information Management Journal</title><addtitle>Health Inf Manag</addtitle><description>This study was two-fold in nature. Initially, it examined the information environment and the use of customary information tools to support medical handovers in a large metropolitan teaching hospital on four weekends (i.e. Friday night to Monday morning). Weekend medical handovers were found to involve sequences of handovers where patients were discussed at the discretion of the doctor handing over; no reliable discussion of all patients of concern occurred at any one handover, with few information tools being used; and after a set of weekend handovers, there was no complete picture on a Monday morning without an analysis of all patient progress notes. In a subsequent case study, three information tools specifically designed as intervention that attempted to enrich the information environment were evaluated. Results indicate that these tools did support greater continuity in who was discussed but not in what was discussed at handover. After the intervention, if a doctor discussed a patient at handover, that patient was more likely to be discussed at subsequent handovers. However, the picture at Monday morning remained fragmentary. The results are discussed in terms of the complexities inherent in the handover process.</description><subject>Communication systems</subject><subject>Continuity of Patient Care - organization & administration</subject><subject>Data processing</subject><subject>Employee training</subject><subject>Forms and Records Control - methods</subject><subject>Health administration</subject><subject>Hospital information systems</subject><subject>Hospital Information Systems - standards</subject><subject>Hospitals</subject><subject>Hospitals, Teaching</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Information storage and retrieval systems</subject><subject>Interdisciplinary Communication</subject><subject>Management</subject><subject>Medical personnel</subject><subject>Medical record personnel</subject><subject>Medical records</subject><subject>Medical Records - standards</subject><subject>Medical staff</subject><subject>Medical Staff, Hospital</subject><subject>Observation</subject><subject>Organizational Case Studies</subject><subject>Physician practice patterns</subject><subject>Pilot Projects</subject><subject>Process Assessment (Health Care)</subject><subject>Technology application</subject><subject>Victoria</subject><issn>1833-3583</issn><issn>1322-4913</issn><issn>1833-3575</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkctq3TAQhk1paUKaF-iiGArdOdHFtuRlOKQ9CQmF3rZiLI9dHWzJlexA377y8UkvJC0ULTTMfP_PXJLkJSVnlApxTiXnvJCcSMIFIZSwJ8kx5YxleUX50xhHIFuIo-Q0hB0hhBV5wSvxPDmikuWFLOlxcntlW-cHmIyz6aW9M97ZAe0U0phOP87j6PxkbJdunA0mTLGUfsAuRh58eouN0dCnW7CNu0P_InnWQh_w9PCfJJ_fXn7abLOb9--uNhc3mS5pNWUaNEFSg9A816hpXmmoiYC2EUWrgea5ZsiI1iApQFMxgpTUXPKGQFHJip8kb1bf0btvM4ZJDSZo7Huw6OagBGFlKSiP4OsV7KBHZeKssW-9wOqCikKKnJVFpM4eoeJrcDDaWWxNzP8hYKtAexeCx1aN3gzgvytK1HIe9fA8UfTq0PRcD9j8khyOEYHzFQjQodq52du4xH9bflkVfjCT0q7vUS-XDDuYggoIXn_dz7OvO9-pxhkF9d6Uc1oqgz2MoKpKUJYzTspCSros-Po340i001_tflrdFx6abf_f7PG-fgDFVuc5</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Alem, Leila</creator><creator>Joseph, Michele</creator><creator>Kethers, Stefanie</creator><creator>Steele, Cathie</creator><creator>Wilkinson, Ross</creator><general>SAGE Publications</general><general>Sage Publications Ltd. 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Initially, it examined the information environment and the use of customary information tools to support medical handovers in a large metropolitan teaching hospital on four weekends (i.e. Friday night to Monday morning). Weekend medical handovers were found to involve sequences of handovers where patients were discussed at the discretion of the doctor handing over; no reliable discussion of all patients of concern occurred at any one handover, with few information tools being used; and after a set of weekend handovers, there was no complete picture on a Monday morning without an analysis of all patient progress notes. In a subsequent case study, three information tools specifically designed as intervention that attempted to enrich the information environment were evaluated. Results indicate that these tools did support greater continuity in who was discussed but not in what was discussed at handover. After the intervention, if a doctor discussed a patient at handover, that patient was more likely to be discussed at subsequent handovers. However, the picture at Monday morning remained fragmentary. The results are discussed in terms of the complexities inherent in the handover process.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>18245861</pmid><doi>10.1177/183335830803700102</doi><tpages>16</tpages></addata></record> |
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| identifier | ISSN: 1833-3583 |
| ispartof | Health Information Management Journal, 2008-01, Vol.37 (1), p.9-24 |
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| language | eng |
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| source | MEDLINE; SAGE Journals Online |
| subjects | Communication systems Continuity of Patient Care - organization & administration Data processing Employee training Forms and Records Control - methods Health administration Hospital information systems Hospital Information Systems - standards Hospitals Hospitals, Teaching Hospitals, Urban Humans Information storage and retrieval systems Interdisciplinary Communication Management Medical personnel Medical record personnel Medical records Medical Records - standards Medical staff Medical Staff, Hospital Observation Organizational Case Studies Physician practice patterns Pilot Projects Process Assessment (Health Care) Technology application Victoria |
| title | Information Environments for Supporting Consistent Registrar Medical Handover |
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