Jonathan P Palma1, Heather Keller, Margie Godin, Karen Wayman, Ronald S Cohen, William D Rhine, Christopher A Longhurst. 1. Department of Clinical Informatics, Lucile Packard Children's Hospital, Palo Alto, CA ; Division of Systems Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA ; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Abstract
OBJECTIVE: To evaluate the impact of using electronic medical record (EMR) data in the form of a daily patient update letter on communication and parent engagement in a level II neonatal intensive care unit (NICU). STUDY DESIGN: Parents of babies in a level II NICU were surveyed before and after the introduction of an EMR-generated daily patient update letter, Your Baby's Daily Update (YBDU). RESULTS: Following the introduction of the EMR-generated daily patient update letter, 89% of families reported using YBDU as an information source; 83% of these families found it "very useful", and 96% of them responded that they "always" liked receiving it. Rates of receiving information from the attending physician were not statistically significantly different pre- and post-implementation, 81% and 78%, respectively (p = 1). Though there was no statistically significant improvement in parents' knowledge of individual items regarding the care of their babies, a trend towards statistical significance existed for several items (p <.1), and parents reported feeling more competent to manage information related to the health status of their babies (p =.039). CONCLUSION: Implementation of an EMR-generated daily patient update letter is feasible, resulted in a trend towards improved communication, and improved at least one aspect of parent engagement-perceived competence to manage information in the NICU.
OBJECTIVE: To evaluate the impact of using electronic medical record (EMR) data in the form of a daily patient update letter on communication and parent engagement in a level II neonatal intensive care unit (NICU). STUDY DESIGN: Parents of babies in a level II NICU were surveyed before and after the introduction of an EMR-generated daily patient update letter, Your Baby's Daily Update (YBDU). RESULTS: Following the introduction of the EMR-generated daily patient update letter, 89% of families reported using YBDU as an information source; 83% of these families found it "very useful", and 96% of them responded that they "always" liked receiving it. Rates of receiving information from the attending physician were not statistically significantly different pre- and post-implementation, 81% and 78%, respectively (p = 1). Though there was no statistically significant improvement in parents' knowledge of individual items regarding the care of their babies, a trend towards statistical significance existed for several items (p <.1), and parents reported feeling more competent to manage information related to the health status of their babies (p =.039). CONCLUSION: Implementation of an EMR-generated daily patient update letter is feasible, resulted in a trend towards improved communication, and improved at least one aspect of parent engagement-perceived competence to manage information in the NICU.
Entities:
Keywords:
Clinical Informatics; Electronic Medical Record; Family-Centered Care; Healthcare Information Technology; Neonatal Informatics
Authors: Ashish K Jha; Catherine M DesRoches; Eric G Campbell; Karen Donelan; Sowmya R Rao; Timothy G Ferris; Alexandra Shields; Sara Rosenbaum; David Blumenthal Journal: N Engl J Med Date: 2009-03-25 Impact factor: 91.245
Authors: Bernadette Mazurek Melnyk; Nancy F Feinstein; Linda Alpert-Gillis; Eileen Fairbanks; Hugh F Crean; Robert A Sinkin; Patricia W Stone; Leigh Small; Xin Tu; Steven J Gross Journal: Pediatrics Date: 2006-10-16 Impact factor: 7.124