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Information needs for the rapid response team electronic clinical tool

BACKGROUND: Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how be...

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Autores principales: Barwise, Amelia, Caples, Sean, Jensen, Jeffrey, Pickering, Brian, Herasevich, Vitaly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5625769/
https://www.ncbi.nlm.nih.gov/pubmed/28969627
http://dx.doi.org/10.1186/s12911-017-0540-3
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author Barwise, Amelia
Caples, Sean
Jensen, Jeffrey
Pickering, Brian
Herasevich, Vitaly
author_facet Barwise, Amelia
Caples, Sean
Jensen, Jeffrey
Pickering, Brian
Herasevich, Vitaly
author_sort Barwise, Amelia
collection PubMed
description BACKGROUND: Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. METHODS: A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution. Participants were asked to rate the importance of each data item in guiding clinical decisions during a RRT event response. RESULTS: There were 96 surveys completed (24.5% response rate) with fairly even distribution throughout all clinical roles on the RRT. Physiological data including heart rate, respiratory rate, and blood pressure were ranked by more than 80% of responders as being critical information. Resuscitation status was also considered critically useful by more than 85% of providers. CONCLUSION: There is a limited dataset that is considered important during an RRT. The data is widely available in EMR. The findings from this study could be used to improve user-centered EMR interfaces.
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spelling pubmed-56257692017-10-12 Information needs for the rapid response team electronic clinical tool Barwise, Amelia Caples, Sean Jensen, Jeffrey Pickering, Brian Herasevich, Vitaly BMC Med Inform Decis Mak Research Article BACKGROUND: Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. METHODS: A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution. Participants were asked to rate the importance of each data item in guiding clinical decisions during a RRT event response. RESULTS: There were 96 surveys completed (24.5% response rate) with fairly even distribution throughout all clinical roles on the RRT. Physiological data including heart rate, respiratory rate, and blood pressure were ranked by more than 80% of responders as being critical information. Resuscitation status was also considered critically useful by more than 85% of providers. CONCLUSION: There is a limited dataset that is considered important during an RRT. The data is widely available in EMR. The findings from this study could be used to improve user-centered EMR interfaces. BioMed Central 2017-10-02 /pmc/articles/PMC5625769/ /pubmed/28969627 http://dx.doi.org/10.1186/s12911-017-0540-3 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Barwise, Amelia
Caples, Sean
Jensen, Jeffrey
Pickering, Brian
Herasevich, Vitaly
Information needs for the rapid response team electronic clinical tool
title Information needs for the rapid response team electronic clinical tool
title_full Information needs for the rapid response team electronic clinical tool
title_fullStr Information needs for the rapid response team electronic clinical tool
title_full_unstemmed Information needs for the rapid response team electronic clinical tool
title_short Information needs for the rapid response team electronic clinical tool
title_sort information needs for the rapid response team electronic clinical tool
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5625769/
https://www.ncbi.nlm.nih.gov/pubmed/28969627
http://dx.doi.org/10.1186/s12911-017-0540-3
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