Information and communication needs of healthcare workers in the - - PowerPoint PPT Presentation

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Information and communication needs of healthcare workers in the - - PowerPoint PPT Presentation

Jan 12, 2024 359 likes •597 views

1 / 22 Information and communication needs of healthcare workers in the perioperative domain Brge LILLEBO a, , Andreas SEIM b and Arild FAXVAAG a a Norwegian EHR Research Centre, Faculty of Medicine, University of Science and Technology

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MIE 2011, Oral presentation, Oslo, August 31 2011

Norwegian EHR Research Centre

Information and communication needs

  • f healthcare workers in

the perioperative domain

Børge LILLEBOa,, Andreas SEIM b and Arild FAXVAAG a

a

Norwegian EHR Research Centre, Faculty of Medicine, University of Science and

Technology (NTNU), Trondheim, Norway

b

Department of Computer and Information Science, Faculty of Information Technology,

Mathematics and Electrical Engineering, NTNU, Trondheim, Norway

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Background

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costt.no

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Methods

  • Observations and interviews at the surgical unit of a

800-bed university hospital in Norway

  • 31 interviews with anesthesiologists, cleaners, nurse

anesthetists, OR nurses, OR suite coordinators, OR technicians, post-anesthesia care unit nurses, surgeons and ward nurses

  • Goal-directed task analysis
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Results

  • Projection of future status
  • Last minute reminders
  • Multiple perspectives
  • Differentiated information requirements
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Projection of future status

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“I have to know when the operation will start in order to do required patient preparations such as fasting, showering and premedication.”

  • Ward nurse
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“It would have been nice to know in advance approximately when the operations would start. In my case a message one hour before the operation begins would be nice. That would give me enough time to take care of an ED [emergency department] patient in the meantime.”

  • Surgical resident
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«What matters to us is when the patient is expected to arrive here. It is nice to know that approximately 30 minutes before he comes, because then we have the possibility of sending one of the other patients out if we are full.»

  • Post-anesthesia care unit nurse
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“Anyway, it is about walking around and looking through the OR windows. I don't know if there is anything particular that I look for, such as the surgeon having finished his work or something like that. But I try to project when each operation will finish and next patient will arrive (...) If I don't keep myself updated, there will be a lot of nagging on my pager”

  • Operating Room Technician
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Last minute reminders

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“They page me when I have to come to the OR”

  • Surgeon
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“We know when we should go and wash an operating room the moment they page us. Usually they do that when they are about to transport the patient out of the

  • room. Sometimes they notify us before the patient is out,

then we wait or start some minor washing with the patient in the room.”

  • Cleaner
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“When the patient has recovered sufficiently we call the ward and ask them to come and get the patient.»

  • Post-anesthesia care unit nurse
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Multiple perspectives

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“I miss simpler tools to control whether or not our plans are feasible - e.g. if a surgeon has been planned to be in two places at the same time.”

  • Operating Suite Coordinator
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Differentiated information requirements

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Discussion and Conclusion

  • Limitations:

– Our study was limited to perioperative patient handovers at one surgical suite – We presented our informants subjective beliefs about personal benefits from status information and projections

  • Many actors depended on and/or thought they could benefit

from improved situational awareness in perioperative patient care

  • Information requirements differed considerably
  • This insight has been a first step into developing and evaluating

situational awareness systems for perioperative patient care activities

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Future Work

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Questions?

and hopefully some advice... costt.no

Børge Lillebo borge.lillebo@ntnu.no