Behavioral signs of an unintended error in nursing information sharing with electronic clinical pathways: a mixed research approach

Sugihara, Taro; Kanehira, Tadashi; Suzuki, Masato; Araki, Kenji

doi:10.1080/17538157.2021.1966015

Cited by 2 publications

(2 citation statements)

References 54 publications

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“…We applied the persona method [81] based on medical records and the experience (formal and informal interviews) from preceding studies [59] of the last author. The rst and last authors attempted to list the characteristics of typical patients who need to be considered challenged in information-sharing settings.…”

Section: Hypothesis From Study 1 and The Study Designmentioning

confidence: 99%

“…Although computerizing information management has many bene ts in a hospital [53][54][55], a study investigating the transition to an electronic system reported the loss of psychosocial information [56]. Interest in such technology-induced errors has increased in recent years [57][58][59]. The advantages and disadvantages of assistive technologies for sharing information must be thoroughly examined to effectively use them.…”

Section: Information-sharing Technologies In Care Settings For Older ...mentioning

confidence: 99%

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Swaying Information about Care: Information-Sharing Challenges in Transitional Care of Older Adults

Kawasaki,

Kawabe,

Suzuki

et al. 2024

Preprint

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Purpose: Despite the increasing importance of elderly care due to the aging global population, few studies have addressed information-sharing challenges in transitioning older adults between hospitals and care facilities. Medical facilities upstream primarily exchange information about treatment, whereas downstream care houses necessitate information to aid in maintaining or improving quality of life. Due to the lack of clarity surrounding the issues in information sharing from upstream to downstream, this exploratory study was conducted to identify the types of problems, primarily focused on the hospital discharge process. Methods: This study conducted mixed-method research (interview, questionnaire, follow-up interview) involving staff in both types of facilities. Three investigations were conducted to identify the challenges of information sharing. Results: The quantitative results showed a subjective assessment indicating that the information-sharing process was not functioning adequately overall. The qualitative findings underscored challenges in sharing information to support caregiving and quality of life rather than medical information for treatment. We revealed the absence of appropriate sharing methods, the failure to share information other than current medical information, and the fact that certain information can only be shared orally. Moreover, due to their different nature and roles, hospitals and care facilities consider different types of information important. Conclusion: One of the empirical contributions was the cognition that the sharing of individual information items was not insufficient but that there was a lack of information as a whole. Our findings will contribute to research on aging issues and support for older adults in health information research communities.

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Section: Hypothesis From Study 1 and The Study Designmentioning

confidence: 99%

Section: Information-sharing Technologies In Care Settings For Older ...mentioning

confidence: 99%

Swaying Information about Care: Information-Sharing Challenges in Transitional Care of Older Adults

Kawasaki,

Kawabe,

Suzuki

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

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Design principles for patient flow improvement in care pathways: a paradox theory perspective

Vallandingham,

De Boer,

Dreyer

2024

BPMJ

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PurposeThe patient flow performance achievable by care pathways is constrained by competing flow and resource efficiency, which can negatively impact improvements. This paper probes the divergence between resource and flow efficiency and how care pathways can lead to improved patient flow. By framing the problem through the lens of paradox theory, a set of design principles is proposed to assist decision-makers in care pathway implementation. Implications are derived for research and practice.Design/methodology/approachThe authors used conceptual research to develop design principles for care pathways based on a systematic review of relevant care pathway research. The initial search contained 515 unique articles, resulting in a final sample of 56 studies.FindingsWhen applying care pathways, patient flow may be negatively affected in relation to the dimensions of bottlenecks, non-value-adding activities, and variability. However, the findings also indicate methods that can be applied to manage organizational paradoxes, which can contribute to more efficient patient flow along each of the three dimensions.Research limitations/implicationsThe study is limited to care pathways and therefore could have missed relevant studies in similar fields, such as care coordination.Practical implicationsHealth care managers, politicians, and IT developers can apply the proposed design principles when developing, implementing, and improving care pathways and supporting technologies.Originality/valueWhile existing research has studied care pathways from a medical perspective, this is the first paper to the author’s knowledge that addresses care pathways directly by considering paradox theory and in light of the operations management literature.

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Behavioral signs of an unintended error in nursing information sharing with electronic clinical pathways: a mixed research approach

Cited by 2 publications

References 54 publications

Swaying Information about Care: Information-Sharing Challenges in Transitional Care of Older Adults

Swaying Information about Care: Information-Sharing Challenges in Transitional Care of Older Adults

Design principles for patient flow improvement in care pathways: a paradox theory perspective

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