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The Effects of Inte...
The Effects of Integrated IT Support on the Prehospital Stroke Process: Results from a Realistic Experiment
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- Andersson Hagiwara, Magnus (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Prehospen
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- Lundberg, Lars (författare)
- Högskolan i Borås,University of Borås
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- Sjöqvist, Bengt-Arne, 1952 (författare)
- Chalmers tekniska högskola,Chalmers University of Technology,Chalmers
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- Maurin Söderholm, Hanna (författare)
- Högskolan i Borås,Akademin för bibliotek, information, pedagogik och IT,PreHospen
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(creator_code:org_t)
- 2019-05-23
- 2019
- Engelska.
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Ingår i: Journal of Healthcare Informatics Research. - : Springer Science and Business Media LLC. - 2509-498X .- 2509-4971. ; 3:3, s. 300-328
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Abstract
Ämnesord
Stäng
- Stroke is a serious condition and the stroke chain of care is a complex. The present study aims to explore the impact of a computerised decision support system (CDSS) for the prehospital stroke process, with focus on work processes and performance. The study used an exploratory approach with a randomised controlled crossover design in a realistic contextualised simulation experiment. The study compared clinical performance among 11 emergency medical services (EMS) teams of 22 EMS clinicians using (1) a computerised decision support system (CDSS) and (2) their usual paper-based process support. Data collection consisted of video recordings, postquestionnaires and post-interviews, and data were analysed using a combination of qualitative and quantitative approaches. In this experiment, using a CDSS improved patient assessment, decision making and compliance to process recommendations. Minimal impact of the CDSS was found on EMS clinicians’ self-efficacy, suggesting that even though the system was found to be cumbersome to use it did not have any negative effects on self-efficacy. Negative effects of the CDSS include increased on-scene time and a cognitive burden of using the system, affecting patient interaction and collaboration with team members. The CDSS’s overall process advantage to the prehospital stroke process is assumed to lead to a prehospital care that is both safer and of higher quality. The key to user acceptance of a system such as this CDSS is the relative advantages of improved documentation process and the resulting patient journal. This could improve the overall prehospital stroke process.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Information Systems (hsv//eng)
Nyckelord
- Prehospital process
- Decision support
- EMS team
- Stroke
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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