Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches

Kresge Foundation - 2007 Annual Report

Contains board chair's message, president's message, program information, grants lists, financial statements, lists of board members and staff, and highlights of the foundation's expanded approach to grantmaking

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

Revisão integrativa que analisou nas publicações as contribuições dos registros eletrônicos em saúde para a segurança do paciente em unidades de terapia intensiva. A pesquisa foi realizada nas bases de dados CINAHL, MEDLINE e SciELO, utilizando os descritores: registros eletrônicos de saúde, sistemas de informação, informática em enfermagem, informática médica, unidades de terapia intensiva, segurança do paciente e gerenciamento de segurança. Foram incluídos 64 artigos, sendo analisados em três categorias: “sistemas de informação e informática em saúde: o registro eletrônico para a continuidade do cuidado de Enfermagem”, “sistemas de apoio à decisão: contribuições para a segurança do paciente” e “indicadores de qualidade do cuidado e de segurança do paciente partir dos registros eletrônicos”. Os estudos apontaram como contribuições a continuidade do cuidado, a tomada de decisão baseada nos sistemas de apoio à decisão e a criação de indicadores de qualidade e segurança do paciente a partir dos registros eletrônicosIntegrative review publications that analyzed the contributions of electronic health records for patient safety in intensive care units. The survey was conducted in the databases CINAHL, MEDLINE and SciELO, using the keywords: electronic health records, information systems, nursing informatics, medical informatics, intensive care units, patient safety and security management. A total 64 articles were included and analyzed in two empirical categories: “Information systems and information technology: the electronic record for the continuity of nursing care”, “decision support systems: contributions to patient safety” and “indicators of quality of care and patient safety from the records electronics”. The studies pointed to contributions to continuity of care, decision making based on decision support systems and the creation of quality indicators and patient safety from electronic records.info:eu-repo/semantics/publishedVersio

The effect of an electronic health record system on nursing staff time in a nursing home: a longitudinal cohort study

BackgroundNursing homes are increasingly introducing electronic health record (EHR) systems into nursing practice; however, there is limited evidence about the effect of these systems on nursing staff time. Aims To investigate the effect of introducing an EHR system on time spent on activities by nursing staff in a nursing home. MethodAn observational work sampling study was undertaken with nursing staff between 2009 and 2011 at 2 months before, and at 3, 6, 12, and 23 months after implementation of an EHR system at an Australian nursing home. An observer used pre-determined tasks to record activities of the nursing staff at 9-minute intervals.ResultsThere was no significant change in registered nurses and endorsed enrolled nurses’ time on most activities after implementation. Personal carers’ time on oral-communication reduced, and time on documentation increased at most measurement periods in the first 12 months after implementation. At 23 months, time on these activities had returned to pre-implementation levels. Nursing staff time on direct care remained stable after implementation. No considerable change was observed in time spent on other activities after implementation.ConclusionFindings suggest that successful introduction of an EHR system in a nursing home may not interfere with nursing staff time on direct care duties. However, there is scope for improving the support provided by EHR systems through incorporation of functions to support collaborative nursing care

Kresge Foundation 2010-2011 Annual Report

Contains an introduction to Kresge's strategy; board chair's letter; president's letter; foundation timeline; program information; grant summary, including geographic distribution; grants lists; financial summary; and lists of board members and staff

Supply chain automation and the effects on clinician satisfaction and patient care quality in the hospital setting

Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2006.Includes bibliographical references (leaves 61-63).The healthcare industry, more specifically hospitals, has in recent times been experiencing a steady rise in nursing shortages and cost pressures. To offset these problems hospitals have increasingly relied upon supply chain automation and the use of Automated Point of Use systems (APU) to relieve nurses of their supply management responsibilities and allow them to focus more of their time on patient care, and therefore increase nursing job satisfaction and patient care quality. However, previous studies on the effectiveness of APUs have shown mixed results. It has been argued that nursing's attitude towards automation implementations plays a role in determining the success of new technologies adoption. This research, based on interviews conducted at BBC hospital, a well regarded multi-specialty academically affiliated institution, and with the help of its supply chain partner Primera, shows that nursing's perceived success of BBC's APU implementation depends on four factors - the ability of the new technology to show timesaving, the availability of supplies when needed, the accessibility of supplies when needed, and the perceived quality of the products supplied.(cont.) In sum, automation implementations must use workflow process changes to add tangible values that nursing perceives as helping nurses to perform their jobs better and with less stress. As for both the current BBC implementation and any future implementations, this study further recommends methods in achieving these values and therefore increasing nursing acceptance of new technology implementations.by Yue Xie.M.Eng.in Logistic

Commonwealth Fund - 2008 Annual Report

Contains mission statement, president's message, executive vice president-COO's report, program highlights, grants list, treasurer's report, financial statements, project summaries, and lists of board members and staff

AFL-CIO Legislative Guide: 112th Congress (2011–2012)

The AFL-CIO Legislative Guide for the 112th Congress covers the following issues as they relate to labor and public policy: The Economy Freedom to Form a Union Health Care Retirement Security Core Labor Laws, Labor Standards and Workplace Protections Education, Civil and Human Rights, Fair and Open Elections The Global Econom