M T Baysari1, K Adams, E C Lehnbom, J I Westbrook, R O Day. 1. Centre for Health Systems and Safety Research, University of New South Wales, Sydney, New South Wales, Australia; Department of Clinical Pharmacology and Toxicology, St Vincent's Hospital, Sydney, New South Wales, Australia.
Abstract
BACKGROUND: Previous work has examined the impact of technology on information sharing and communication between doctors and patients in general practice consultations, but very few studies have explored this in hospital settings. AIMS: To assess if, and how, senior clinicians use an iPad to share information (e.g. patient test results) with patients during ward rounds and to explore patients' and doctors' experiences of information sharing events. METHODS: Ten senior doctors were shadowed on ward rounds on general wards during interactions with 525 patients over 77.3 h, seven senior doctors were interviewed and 180 patients completed a short survey. RESULTS: Doctors reported that information sharing with patients is critical to the delivery of high-quality healthcare, but were not seen to use the iPad to share information with patients on ward rounds. Patients did not think the iPad had impacted on their engagement with doctors on rounds. Ward rounds were observed to follow set routines and patient interactions were brief. CONCLUSIONS: Although the iPad potentially creates new opportunities for information sharing and patient engagement, the ward round may not present the most appropriate context for this to be done.
BACKGROUND: Previous work has examined the impact of technology on information sharing and communication between doctors and patients in general practice consultations, but very few studies have explored this in hospital settings. AIMS: To assess if, and how, senior clinicians use an iPad to share information (e.g. patient test results) with patients during ward rounds and to explore patients' and doctors' experiences of information sharing events. METHODS: Ten senior doctors were shadowed on ward rounds on general wards during interactions with 525 patients over 77.3 h, seven senior doctors were interviewed and 180 patients completed a short survey. RESULTS: Doctors reported that information sharing with patients is critical to the delivery of high-quality healthcare, but were not seen to use the iPad to share information with patients on ward rounds. Patients did not think the iPad had impacted on their engagement with doctors on rounds. Ward rounds were observed to follow set routines and patient interactions were brief. CONCLUSIONS: Although the iPad potentially creates new opportunities for information sharing and patient engagement, the ward round may not present the most appropriate context for this to be done.
Authors: Sven Y Vetter; Svenja Schüler; Matthes Hackbusch; Michael Müller; Benedict Swartman; Marc Schnetzke; Paul Alfred Grützner; Jochen Franke Journal: J Digit Imaging Date: 2018-02 Impact factor: 4.056
Authors: Louise K Wiles; Tamara D Hooper; Peter D Hibbert; Charlotte Molloy; Les White; Adam Jaffe; Christopher T Cowell; Mark F Harris; William B Runciman; Annette Schmiede; Chris Dalton; Andrew R Hallahan; Sarah Dalton; Helena Williams; Gavin Wheaton; Elisabeth Murphy; Jeffrey Braithwaite Journal: PLoS One Date: 2019-01-09 Impact factor: 3.240