Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Georgiou, Andrew; Westbrook, Johanna I.; Braithwaite, Jeffrey; Iedema, Rick

doi:10.1177/183335830503400406

Cited by 19 publications

(18 citation statements)

References 38 publications

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“…This has led to concern about their applicability in other settings, particularly outside the USA. This is of particular relevance to Australian hospitals whose experience of CPOE will predominantly involve commercially developed ‘off the shelf’ systems that have only recently become subject to rigorous evaluation of their effect on hospital efficiency, 8,9 and the delivery of patient care 10,11 . Moreover, CPOE research has tended to concentrate on isolated features (e.g.…”

Section: Introductionmentioning

confidence: 99%

Challenges associated with electronic ordering in the emergency department: A study of doctors' experiences

Fernando

Georgiou

Westbrook

2009

Emerg Medicine Australasia

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Section: Introductionmentioning

confidence: 99%

Challenges associated with electronic ordering in the emergency department: A study of doctors' experiences

Fernando

Georgiou

Westbrook

2009

Emerg Medicine Australasia

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“…With the advance of electronic healthcare management, interdepartmental communication ‘off-line’ and ‘on-line’ has been complicated, causing delays and decreased workplace relationships 18. In particular, outdated paging technology has been identified as the source of miscommunication and disruption in hospitals 19.…”

Section: Discussionmentioning

confidence: 99%

Waiting it out: consultation delays prolong in-patient length of stay

Rahman

Shi

Meza

et al. 2019

Postgraduate Medical Journal

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BackgroundDecreasing delays for hospitalised patients results in improved hospital efficiency, increased quality of care and decreased healthcare expenditures. Delays in subspecialty consultations and procedures can cause increased length of stay due to reasons outside of necessary medical care.ObjectiveTo quantify, describe and record reasons for delays in consultations and procedures for patients on the general medicine wards.MethodologyWe conducted weekly audits of all admitted patients on five Internal Medicine teams over 8 weeks. A survey was reviewed with attending physicians and residents on five internal medicine teams to identify patients with a delay due to consultation or procedure, quantify length of delay and record reason for delay.ResultsDuring the study period, 316 patients were reviewed and 48 were identified as experiencing a total of 53 delays due to consultations or procedures. The average delay was 1.8 days for a combined total of 83 days. Top reasons for delays included scheduling, late response to page and a busy service. The frequency in length of consult delays vary among different specialties. The highest frequency of delays was clustered in procedure-heavy specialties.ConclusionThis report highlights the importance of reviewing system barriers that lead to delayed service in hospitals. Addressing these delays could lead to reductions in length of stay for inpatients.

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“…These trends were making it increasingly difficult to determine the boundaries of local systems [1,4,27,28]. Today, a socio-technical system such as an electronic health records system embedded in the department of a hospital will be impacted by other departments and sections in that hospital [29,30]. It will also be affected by the external environment, which may include the health organisation, funding bodies and government regulators.…”

Section: Broadening the Focusmentioning

confidence: 99%

Conceptual Challenges for Advancing the Socio-Technical Underpinnings of Health Informatics~!2010-04-08~!2010-04-11~!2010-09-14~!

Whetton¹

2010

TOMINFOJ

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This discussion paper considers the adoption of socio-technical perspectives and their theoretical and practical influence within the discipline of health informatics. The paper highlights the paucity of discussion of the philosophy, theory and concepts of socio-technical perspectives within health informatics. Instead of a solid theoretical base from which to describe, study and understand human-information technology interactions we continue to have fragmented, unelaborated understandings. This has resulted in a continuing focus on technical system performance and increasingly managerial outputs to the detriment of social and technical systems analysis. It has also limited critical analyses and the adaptation of socio-technical approaches beyond the immediate environment to the broader social systems of contemporary society, an expansion which is increasingly mandated in today's complex health environment.

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Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Cited by 19 publications

References 38 publications

Challenges associated with electronic ordering in the emergency department: A study of doctors' experiences

Challenges associated with electronic ordering in the emergency department: A study of doctors' experiences

Waiting it out: consultation delays prolong in-patient length of stay

Conceptual Challenges for Advancing the Socio-Technical Underpinnings of Health Informatics~!2010-04-08~!2010-04-11~!2010-09-14~!

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