Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review

Hyvämäki, Piia; Kääriäinen, Maria; Tuomikoski, Anna-Maria; Pikkarainen, Minna; Jansson, Miia

doi:10.1097/pts.0000000000000892

Cited by 6 publications

(3 citation statements)

References 53 publications

(232 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Poor usability of EHRs is associated to time pressure, psychological distress2 3 and expand work task 4. Poor usability of EHR can amplify the effects of human error and increase the risk of adverse events 5…”

Section: Commentarymentioning

confidence: 99%

Dealing with cognitive load related to electronic health record in demanding work environment

Vehko

2024

Evid Based Nurs

View full text Add to dashboard Cite

Section: Commentarymentioning

confidence: 99%

Dealing with cognitive load related to electronic health record in demanding work environment

Vehko

2024

Evid Based Nurs

View full text Add to dashboard Cite

“…In line with (Jansson et al, 2022), poor user interface design and lack of health data hindered information retrieval. In addition, insufficient health information exchange, poor quality of documentation, usability, and functionality issues were identified, which are concerning, as they can amplify human errors and risk patient safety (Hyvämäki et al, 2022(Hyvämäki et al, , 2023. Therefore, comprehensive data management is required by addressing the needs for data collection, interoperability, and communication in healthcare systems and thus secure coordination and patient safety across the care continuum (Kierkegaard et al, 2014;Menachemi et al, 2018).…”

Section: Life After Stroke Carementioning

confidence: 99%

Challenges and needs in cerebrovascular disease pathway: A qualitative descriptive study from the patients' and healthcare professionals' perspectives

Härkönen,

Myllykangas,

Gomes

et al. 2024

Journal of Advanced Nursing

Self Cite

View full text Add to dashboard Cite

Aim(s)To understand patients' and healthcare professionals' experiences to improve care in and across different domains of the cerebrovascular disease pathway.DesignA qualitative descriptive study.MethodsSemi‐structured in‐person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and 26 healthcare professionals taking care of them in a single tertiary‐level hospital from August 2021 to March 2022. Data were analysed using deductive and inductive content analysis. The consolidated criteria for reporting qualitative research was used to ensure reliable reporting.ResultsOverall, 19 generic and 79 sub‐categories describing perceived challenges with 17 generic and 62 sub‐categories describing perceived needs were identified related to primary prevention, organization of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment, and life after stroke.ConclusionSeveral challenges and needs were identified in and across the different domains of the cerebrovascular disease pathway. There is a requirement for adequate resources, early initiation of treatment, early diagnostics and recanalization, dedicated rehabilitation services, long‐term counselling and support, and impact evaluation of services to improve cerebrovascular disease care. Future research on caregivers', and clinical leadership experiences in and across the cerebrovascular disease pathway is needed to explore the provision of services.Implications for the Profession and/or Patient CareThe results of this study can be applied by organizations, managers and research for developing and improving services in the cerebrovascular disease pathway.ImpactThis study identified several patient‐related, organizational and logistical needs and challenges, with suggestions for required actions, that can benefit the provision of effective, high‐quality cerebrovascular disease care.Reporting MethodWe have adhered to relevant EQUATOR guidelines with the COREQ reporting method.Patient or Public ContributionNo patient or public involvement.

show abstract

“…It appears that inadequate communication between the two sectors is a widespread international phenomenon that also includes the Nordic welfare states [5][6][7][8]. It is described that inadequate crosssectoral communication is one of the main barriers to efficient and safe transitional care, but also that lack of dialogue between health professionals and lack of understanding of others' roles are barriers to effective communication in transitional care [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Cross‐sectoral exchange of nurses: An intervention study

Jungdal,

Tousig,

Christiansen

et al. 2024

Scandinavian Caring Sciences

View full text Add to dashboard Cite

BackgroundIn health policy, much attention has been paid to collaboration between the primary and secondary health care sectors, especially in relation to hospitalisation and discharge. Despite ideal plans for collaboration, the research literature shows that inadequate communication is a well‐known problem that can be a barrier to a safe trajectory for the citizen. Based on the assumption that better knowledge of each other's work will lead to better collaboration, a cross‐sectoral exchange program with nurses was initiated.AimThe aim was to investigate which barriers to good patient trajectories the involved nurses attributed to cross‐sectoral collaboration and what impact the exchange to the opposite sector had for them.MethodsTwenty‐eight nurses were exchanged: 14 from a cardiology department and 14 from municipal home care. The nurses shadowed a colleague from the opposite sector in their daily work. Subsequently, six focus group interviews were conducted. The transcribed material was analysed based on Ricoeur's interpretation theory.ResultsTwo main themes, including sub‐themes emerged: (1) Challenging communicative conditions: (a) Inadequate digital communication, (b) Inadequate care plans and discharge reports, (c) Conversation promotes understanding, and (d) Challenging collaboration and communication with the discharge coordinators. (2) Perceived importance of the exchange: (a) Cross‐sectoral relationship, prejudice and gaining respect for each other and (b) Working in two different worlds.ConclusionElectronic communication is inadequate, and the IT systems do not support sufficient cross‐sectoral communication. The organisational model in the municipal care sector is inflexible in terms of allocations for the current needs of citizens, and professionals feel that their professional judgements are not recognised. The nurses gained insight into each other's work and working conditions and respect for each other's professionalism. The exchange has the potential to both improve the relationship and communication between the sectors for the benefit of a better and more coherent patient course.

show abstract

Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review

Cited by 6 publications

References 53 publications

Dealing with cognitive load related to electronic health record in demanding work environment

Dealing with cognitive load related to electronic health record in demanding work environment

Challenges and needs in cerebrovascular disease pathway: A qualitative descriptive study from the patients' and healthcare professionals' perspectives

Cross‐sectoral exchange of nurses: An intervention study

Contact Info

Product

Resources

About