Communication in the Electronic Age: an Analysis of Face-to-Face Physician-Nurse Communication in the Emergency Department

被引：5

作者：

Benda N.C. ^{[1
,2
]}

Hettinger A.Z. ^{[1
,3
]}

Bisantz A.M. ^{[2
]}

Hoffman D.J. ^{[1
]}

McGeorge N.M. ^{[2
,4
]}

Iyer A. ^{[1
]}

Berg R.L. ^{[2
]}

Roth E.M. ^{[5
]}

Franklin E.S. ^{[1
,6
]}

Perry S.J. ^{[7
]}

Wears R.L. ^{[7
,8
]}

Fairbanks R.J. ^{[1
,2
,3
]}

机构：

[1] National Center for Human Factors in Healthcare, MedStar Institute for Innovation, MedStar Health, Washington, 20002, DC

[2] Department of Industrial and Systems Engineering, State University of New York at Buffalo, Buffalo, 14228, NY

[3] Department of Emergency Medicine, Georgetown University School of Medicine, Washington, 20007, DC

[4] Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, 21202, MD

[5] Roth Cognitive Engineering, Stanford, 94305, CA

[6] School of Nursing, The George Washington University, Washington, 20006, DC

[7] Department of Emergency Medicine, University of Florida, Jacksonville, 32209, FL

[8] Clinical Safety Research Unit, Imperial College of London, SW7 2AZ, London

来源：

Journal of Healthcare Informatics Research | 2017年 / 1卷 / 2期

基金：

美国国家科学基金会; 美国医疗保健研究与质量局;

关键词：

Electronic health records; Emergency department communication; Nurse-physician communication; Verbal communication;

D O I：

10.1007/s41666-017-0008-3

中图分类号：

学科分类号：

摘要：

We describe the patterns and content of nurse to physician verbal conversations in three emergency departments (EDs) with electronic health records. Emergency medicine physicians and nurses were observed for 2 h periods. Researchers used paper notes to document the characteristics (e.g., partners involved, location of communication, who initiated communication) and content of nurse to physician conversations. Eighteen emergency nurses and physicians (nine each) were observed for a total of 36 h. Two hundred and fifty-five unique communication events were recorded across three emergency departments spread evenly across day, evening, and night shifts. A qualitative analysis of communication event content revealed 5 types of communication and 13 content themes. Content themes covered a broad range of topics including exchange of patient health information, management of the ED, and coordination of orders. Physician participants experienced significantly more communication events than nurse participants, while nurses initiated significantly more communication events than physicians. Most of the communication events occurred at the physician workstation followed by patient treatment areas. This study describes nature of verbal nurse to physician communication in the ED. Direct communication is still used to communicate important information, such as information about patients’ status, in EDs with established electronic health records. Our results provide an overview of information exchanged in the ED which can serve as a basis for designing improved information support systems. © 2017, Springer International Publishing AG.

引用

页码：218 / 230

页数：12

共 24 条

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