Remembering the basics: Administrative technology and nursing care in a hospital emergency department

Sharman, Zena

doi:10.1016/j.ijmedinf.2006.05.012

Cited by 16 publications

(6 citation statements)

References 37 publications

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“…Sadly, many technologies are "high tech," and therefore interfere with the "high touch" needs of nursing care (Musk, 2004;Weeks, 1994). A somewhat discordant relationship between technology, gender, and nursing has long existed (Sandelowski, 1997;Sharman, 2007). As a predominantly female discipline, nursing has not always embraced technology, in part because it reflects a masculine definition of power (Wajcman, 1991).…”

Section: Technology and Controlmentioning

confidence: 99%

Devastatingly Human: An Analysis of Registered Nurses’ Medication Error Accounts

2010

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Despite many safeguards, nurses make the majority of medication administration errors. The purpose of our research was to investigate the perceived causes for such errors and to better understand how nurses deal with them. We performed an interpretive analysis of 158 accounts by nurses who made self-identified medication errors. We found common themes among these accounts. First, although nurses admitted responsibility for errors, they simultaneously identified a variety of external contributing factors. Second, nurses' accounts were often framed in terms of "being new," with the underlying background expectancy of inexperience. Third, emotionally devastating visceral responses to errors were common and often incongruent with error severity. Fourth, nurses had to deal with fear. Fifth, nurses voiced frustrations with technologies and regulations. Sixth, embedded within many of the accounts was a "lessons learned" theme, through which nurses developed "personal rules" as a result of an error. We conclude with suggestions for additional research.

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Section: Technology and Controlmentioning

confidence: 99%

Devastatingly Human: An Analysis of Registered Nurses’ Medication Error Accounts

2010

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“…Therefore, nurses’ use of and experiences with the SCR is a potential focus of future studies. This is particularly relevant since the health authorities’ implementation and deployment plan is to open the SCR to municipal nursing services in primary care by the end of 2018 and studies have found that nurses tend to not adopt technology-enabled “data sharing” [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

The Norwegian National Summary Care Record: a qualitative analysis of doctors’ use of and trust in shared patient information

Dyb¹,

Warth²

2018

BMC Health Serv Res

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BackgroundThis paper explores Norwegian doctors’ use of and experiences with a national tool for sharing core patient health information. The summary care record (SCR; the Kjernejournal in Norwegian) is the first national system for sharing patient information among the various levels and institutions of health care throughout the country. The health authorities have invested heavily in the development, implementation and deployment of this tool, and as of 2017 all Norwegian citizens have a personalised SCR. However, as there remains limited knowledge about health professionals’ use of, experiences with and opinions regarding this new tool, the purpose of this study was to explore doctors’ direct SCR experiences.MethodsWe conducted 25 in-depth interviews with 10 doctors from an emergency ward, 5 doctors from an emergency clinic and 10 doctors from 5 general practitioner offices. We then transcribed, thematically coded and analysed the interviews utilising a grounded theory approach.ResultsThe SCRs contain several features for providing core patient information that is particularly relevant in acute or emergency situations; nonetheless, we found that the doctors generally used only one of the tool’s six functions, namely, the pharmaceutical summary. In addition, they primarily used this summary for a few subgroups of patients, including in the emergency ward for unconscious patients, for elderly patients with multiple prescriptions and for patients with substance abuse conditions. The primary difference of the pharmaceutical summary compared with the other functions of the tool is that patient information is automatically updated from a national pharmaceutical server, while other clinically relevant functions, like the critical information category, require manual updates by the health professionals themselves, thereby potentially causing variations in the accuracy, completeness and trustworthiness of the data.ConclusionTherefore, we can assume that the popularity of the pharmaceutical summary among doctors is based on their preference to place their trust in – and therefore more often utilise – automatically updated information. In addition, the doctors’ lack of trust in manually updated information might have severe implications for the future success of the SCR and for similar digital tools for sharing patient information.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3069-y) contains supplementary material, which is available to authorized users.

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“…From an organizational perspective, researchers found two major factors affected the success of clinical information systems in Quebec: the presence of a project champion and the support from senior management (Pare et al, 2008). These organizational findings may be relevant to There are numerous benefits of data for decision-making including the ability to measure improvements in productivity, cost control, and the ability to focus patient care by implementing clinical practice guidelines (CPG) (Carter, 2002;Gagnon et al, 2008;Sharman, 2007). CPGs are as standards of care, for example, for a 60-year-old patient in good health with hip replacement surgery, a CPG may require that the patient stay in the hospital for "x" number of days for post-surgery monitoring.…”

Section: Use Of Clinical Information Technologymentioning

confidence: 99%

Factors associated with the extent of information technology use in Ontario hospitals

Chow

2013

International Journal of Healthcare Management

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I am deeply indebted to those who took me through this part of my journey.Jim Tiessen: my thesis supervisor who continues to be a pillar of strength and reason.Thank you for your direction, wisdom, patience, humour and kindness.Catherine Middleton: my thesis advisor and one of Canada's leading IT researchers.Thank you for your critical thinking and attention to detail and your time. Faculty, Administration and Staff at Ryerson: Thank you for recognizing my skills outside of the academic realm; I truly believe that diversity is a proven strength. Who would have ever known… thank you for the gift of curiosity. You have changed my life. Health care in Ontario: to the professionals, support staff, administration, academics and the realists/idealists, thank you for embracing my questions and my work. My hope is to turn my operational (and now strategic) health care experience into academic questions for discussion and discovery. May this be a lifelong learning experience. Faculty and Friends: thank you for the professional development and for piquing my curiosity in health care research/debate. The quest has already begun.To my Friends: to the readers, technical support, practical advisors and the listeners.Thank you for supporting me. Friends are like seasons, they come and go. I hope that you stay (even if it is only for a season) and grace me with your presence.To my Family: a million thanks for your support and encouragement. To my parents: I hope this may make you proud; to my brother: I hope you find what you seek; and to Bibi the dog: thank you for not tearing up my thesis or putting up too many physical obstacles.iii Table of Contents

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Remembering the basics: Administrative technology and nursing care in a hospital emergency department

Cited by 16 publications

References 37 publications

Devastatingly Human: An Analysis of Registered Nurses’ Medication Error Accounts

Devastatingly Human: An Analysis of Registered Nurses’ Medication Error Accounts

The Norwegian National Summary Care Record: a qualitative analysis of doctors’ use of and trust in shared patient information

Factors associated with the extent of information technology use in Ontario hospitals

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