Literature DB >> 18834970

The effects of clinical information presentation on physicians' and nurses' decision-making in ICUs.

Anne Miller1, Carlos Scheinkestel, Cathie Steele.   

Abstract

This research evaluated physicians' agreement about patients' diagnoses and nurses' ability to detect patient change using traditional charts (TC) and a work domain analysis-based paper prototype (PP) and also sought to determine whether differences persisted when the PP was represented as an electronic prototype (EP). Nurses' change detection improved using the PP and EP compared to TC (PP vs TC, t((df=6))=1.94, p<0.03; EP vs TC, t((df=6))=3.14, p<0.01) and detection was better using the EP compared with the PP (t((df=6))=5.96, p<0.001). Physicians were more likely to agree about failed physiological systems using the EP compared with the PP (t((df=10))=3.14, p<0.01), but agreement about patient diagnoses was higher using the PP compared with the EP (t((df=10))=2.23; p<0.02). These results are attributed to information grouping around physiological functions and the direct association of cause-and-effect relations in clinical information design.

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Mesh:

Year:  2008        PMID: 18834970     DOI: 10.1016/j.apergo.2008.07.004

Source DB:  PubMed          Journal:  Appl Ergon        ISSN: 0003-6870            Impact factor:   3.661


  15 in total

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8.  Presenting patient data in the electronic care record: the role of timelines.

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10.  Concordance of expert clinicians' interpretations of the newborn's true physiological state.

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Journal:  Pediatr Res       Date:  2021-06-28       Impact factor: 3.953

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