Workflow integration analysis of a human factors-based clinical decision support in the emergency department.

Checklist Decision Support Systems, Clinical Emergency Service, Hospital Humans Physicians Workflow
Clinical decision support Emergency department Health IT Usability Workflow integration

Journal

Applied ergonomics
ISSN: 1872-9126
Titre abrégé: Appl Ergon
Pays: England
ID NLM: 0261412

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 01 12 2020
revised: 03 06 2021
accepted: 07 06 2021
pubmed: 29 6 2021
medline: 25 8 2021
entrez: 28 6 2021
Statut: ppublish

Résumé

Numerous challenges with the implementation, acceptance, and use of health IT are related to poor usability and a lack of integration of the technologies into clinical workflow, and have, therefore, limited the potential of these technologies to improve patient safety. We propose a definition and conceptual model of health IT workflow integration. Using interviews of 12 emergency department (ED) physicians, we identify 134 excerpts of barriers and facilitators to workflow integration of a human factors (HF)-based clinical decision support (CDS) implemented in the ED. Using data on these 134 barriers and facilitators, we distinguish 25 components of workflow integration of the CDS, which are described according to four dimensions of workflow integration: time, flow, scope of patient journey, and level. The proposed definition and conceptual model of workflow integration can be used to inform health IT design; this is the purpose of the proposed checklist that can help to ensure consideration of workflow integration during the development of health IT.

Identifiants

DOI: 10.1016/j.apergo.2021.103498 PMID: 34182430 PMC: PMC8474147
pubmed: 34182430
pii: S0003-6870(21)00145-9
doi: 10.1016/j.apergo.2021.103498
pmc: PMC8474147
mid: NIHMS1714151
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103498

Subventions

Organisme : AHRQ HHS
ID : R01 HS022086
Pays : United States
Organisme : NLM NIH HHS
ID : T15 LM007450
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002373
Pays : United States

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Références

J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
AMIA Annu Symp Proc. 2009 Nov 14;2009:558-62
pubmed: 20351917
Ann Intern Med. 2001 Jul 17;135(2):98-107
pubmed: 11453709
Acad Emerg Med. 2010 Sep;17(9):1016-9
pubmed: 20836787
Stud Health Technol Inform. 2019 Aug 9;265:134-140
pubmed: 31431589
J Comp Eff Res. 2012 Sep;1(5):421-9
pubmed: 24236419
Perspect Health Inf Manag. 2010 Oct 01;7:1d
pubmed: 21063545
Health Aff (Millwood). 2009 Mar-Apr;28(2):467-77
pubmed: 19276006
JMIR Hum Factors. 2015 Sep 10;2(2):e14
pubmed: 27025540
J Am Med Inform Assoc. 2019 Oct 1;26(10):999-1009
pubmed: 31233144
Appl Ergon. 2017 Jan;58:301-307
pubmed: 27633226
J Am Med Inform Assoc. 2003 Nov-Dec;10(6):523-30
pubmed: 12925543
J Nurs Scholarsh. 2009;41(3):293-300
pubmed: 19723278
Qual Saf Health Care. 2006 Dec;15 Suppl 1:i50-8
pubmed: 17142610
Appl Ergon. 2014 Jan;45(1):14-25
pubmed: 23845724
Yearb Med Inform. 2019 Aug;28(1):71-77
pubmed: 31419818
J Biomed Inform. 2018 Feb;78:134-143
pubmed: 29246790
J Am Med Inform Assoc. 2018 Sep 1;25(9):1197-1201
pubmed: 29982549
Ann Emerg Med. 2019 Aug;74(2):285-296
pubmed: 30611639
BMJ Qual Saf. 2020 Apr;29(4):329-340
pubmed: 31776197
J Am Med Inform Assoc. 2010 May-Jun;17(3):265-73
pubmed: 20442143
Ann Intern Med. 2015 Nov 3;163(9):701-11
pubmed: 26414967
JAMA. 2019 Feb 26;321(8):743-744
pubmed: 30715133
JMIR Hum Factors. 2017 Oct 05;4(4):e27
pubmed: 28982645
Health Aff (Millwood). 2018 Jul;37(7):1128-1135
pubmed: 29985687
AMIA Annu Symp Proc. 2011;2011:427-34
pubmed: 22195096
JAMA. 2005 Mar 9;293(10):1223-38
pubmed: 15755945
Evid Based Med. 2016 Feb;21(1):7-13
pubmed: 26718820
BMC Med Inform Decis Mak. 2011 Nov 29;11:74
pubmed: 22126324
Qual Saf Health Care. 2010 Oct;19 Suppl 3:i20-5
pubmed: 20724393
J Am Med Inform Assoc. 2006 Mar-Apr;13(2):138-47
pubmed: 16357358
Implement Sci. 2011 Sep 19;6:109
pubmed: 21929769
JAMA. 2018 Dec 4;320(21):2199-2200
pubmed: 30398550
Appl Ergon. 2014 Jan;45(1):5-13
pubmed: 23684119
BMC Med Inform Decis Mak. 2020 Jan 28;20(1):13
pubmed: 31992301
Appl Ergon. 2020 Apr;84:103033
pubmed: 31987516
J Med Internet Res. 2017 May 19;19(5):e174
pubmed: 28526667
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970
Mayo Clin Proc. 2016 Jul;91(7):836-48
pubmed: 27313121
J Biomed Inform. 2015 Jun;55:260-71
pubmed: 25817918
J Biomed Inform. 2008 Apr;41(2):387-92
pubmed: 18029232

Auteurs

Megan E Salwei (ME)

Department of Biomedical Informatics, Vanderbilt University Medical Center, USA; Center for Research and Innovation in Systems Safety, Vanderbilt University Medical Center, USA. Electronic address: megan.salwei@vumc.org.

Pascale Carayon (P)

Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA.

Peter L T Hoonakker (PLT)

Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA.

Ann Schoofs Hundt (AS)

Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA.

Douglas Wiegmann (D)

Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA.

Michael Pulia (M)

Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, USA.

Brian W Patterson (BW)

Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, USA.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Liste de contrôle › Workflow integration analysis of a human...
questionsmedicales.fr › Sciences de l'information › Informatique › Informatique médicale › Applications de l'informatique médicale › Systèmes d'information › Systèmes d'aide à la décision clinique › Workflow integration analysis of a human...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Services hospitaliers › Service hospitalier d'urgences › Workflow integration analysis of a human...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Workflow integration analysis of a human...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Workflow integration analysis of a human...
questionsmedicales.fr › Sciences de l'information › Analyse des systèmes › Flux de travaux › Workflow integration analysis of a human...