Cargando…

A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study

BACKGROUND: Hospital communication among members of a patient’s care team is a central part of clinical workflow and consumes a large amount of a health care provider’s time. Oftentimes the complexity of hospital care leads to difficulty in finding the appropriate contact, which can lead to ineffici...

Descripción completa

Detalles Bibliográficos
Autores principales: Morawski, Kyle, Monsen, Craig, Takhar, Sukhjit, Landman, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928333/
https://www.ncbi.nlm.nih.gov/pubmed/29661752
http://dx.doi.org/10.2196/humanfactors.6781
_version_ 1783319222704668672
author Morawski, Kyle
Monsen, Craig
Takhar, Sukhjit
Landman, Adam
author_facet Morawski, Kyle
Monsen, Craig
Takhar, Sukhjit
Landman, Adam
author_sort Morawski, Kyle
collection PubMed
description BACKGROUND: Hospital communication among members of a patient’s care team is a central part of clinical workflow and consumes a large amount of a health care provider’s time. Oftentimes the complexity of hospital care leads to difficulty in finding the appropriate contact, which can lead to inefficiencies and frustration. Squire is a Web-based information retrieval app created to improve the speed and efficiency in reaching the appropriate team member during the care of a hospitalized patient. OBJECTIVE: The objective of the study was to design and develop Squire and to evaluate the usage, usability, and perceived effect of the app on finding the correct contact within a hospital. METHODS: We used a mixed-methods design using a before-after survey methodology combined with one-on-one interviews to understand the perceived effect of Squire. The study took place at an academic medical center with internal medicine resident physicians. We surveyed residents on demographics, as well as time and efficiency of hospital communication before and after the use of Squire. After using Squire, participants were also asked to evaluate Squire’s Net Promoter Score (NPS). A subset of voluntary participants participated in one-on-one interviews and completed the System Usability Scale (SUS). We performed descriptive statistics on participant characteristics, app usage data, and responses to surveys. Survey results were compared before and after Squire adoption using the Wilcoxon rank-sum test and a general linear model. Interview data were analyzed using content analysis with a qualitative description approach to review and categorize feedback from participants. RESULTS: There was a 67.9% (74/109) response rate to the pre-Squire survey and 89.9% (98/109) response rate to the post-Squire survey. At baseline, there was an average of 22.2 (95% CI 18.4-26.0) minutes/day spent searching for the right contact, and this decreased to 16.3 (95% CI 13.9-18.7) minutes/day after Squire was launched (P=.01). There were favorable usability scores, with an average SUS of 84.7, and a marginal NPS of +6.1. Overall, the use of Squire included 22,283 page views, most commonly to contact the admissions office or portable chest x-ray technician. Interviews highlighted common benefits of Squire, including decreased perceived time spent on hold with operators and improvement in connecting with the appropriate contact in specialized, complex departments. Future opportunities were also identified to improve Squire including adding a two-way communication between physician and nursing staff and providing offline access. CONCLUSIONS: Squire decreased the perceived time required to find an appropriate contact and had a favorable usability score; however, the NPS was marginal and several opportunities were identified to improve Squire for future use.
format Online
Article
Text
id pubmed-5928333
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-59283332018-05-03 A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study Morawski, Kyle Monsen, Craig Takhar, Sukhjit Landman, Adam JMIR Hum Factors Original Paper BACKGROUND: Hospital communication among members of a patient’s care team is a central part of clinical workflow and consumes a large amount of a health care provider’s time. Oftentimes the complexity of hospital care leads to difficulty in finding the appropriate contact, which can lead to inefficiencies and frustration. Squire is a Web-based information retrieval app created to improve the speed and efficiency in reaching the appropriate team member during the care of a hospitalized patient. OBJECTIVE: The objective of the study was to design and develop Squire and to evaluate the usage, usability, and perceived effect of the app on finding the correct contact within a hospital. METHODS: We used a mixed-methods design using a before-after survey methodology combined with one-on-one interviews to understand the perceived effect of Squire. The study took place at an academic medical center with internal medicine resident physicians. We surveyed residents on demographics, as well as time and efficiency of hospital communication before and after the use of Squire. After using Squire, participants were also asked to evaluate Squire’s Net Promoter Score (NPS). A subset of voluntary participants participated in one-on-one interviews and completed the System Usability Scale (SUS). We performed descriptive statistics on participant characteristics, app usage data, and responses to surveys. Survey results were compared before and after Squire adoption using the Wilcoxon rank-sum test and a general linear model. Interview data were analyzed using content analysis with a qualitative description approach to review and categorize feedback from participants. RESULTS: There was a 67.9% (74/109) response rate to the pre-Squire survey and 89.9% (98/109) response rate to the post-Squire survey. At baseline, there was an average of 22.2 (95% CI 18.4-26.0) minutes/day spent searching for the right contact, and this decreased to 16.3 (95% CI 13.9-18.7) minutes/day after Squire was launched (P=.01). There were favorable usability scores, with an average SUS of 84.7, and a marginal NPS of +6.1. Overall, the use of Squire included 22,283 page views, most commonly to contact the admissions office or portable chest x-ray technician. Interviews highlighted common benefits of Squire, including decreased perceived time spent on hold with operators and improvement in connecting with the appropriate contact in specialized, complex departments. Future opportunities were also identified to improve Squire including adding a two-way communication between physician and nursing staff and providing offline access. CONCLUSIONS: Squire decreased the perceived time required to find an appropriate contact and had a favorable usability score; however, the NPS was marginal and several opportunities were identified to improve Squire for future use. JMIR Publications 2018-04-16 /pmc/articles/PMC5928333/ /pubmed/29661752 http://dx.doi.org/10.2196/humanfactors.6781 Text en ©Kyle Morawski, Craig Monsen, Sukhjit Takhar, Adam Landman. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 16.04.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on http://humanfactors.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Morawski, Kyle
Monsen, Craig
Takhar, Sukhjit
Landman, Adam
A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title_full A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title_fullStr A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title_full_unstemmed A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title_short A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study
title_sort novel information retrieval tool to find hospital care team members: development and usability study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928333/
https://www.ncbi.nlm.nih.gov/pubmed/29661752
http://dx.doi.org/10.2196/humanfactors.6781
work_keys_str_mv AT morawskikyle anovelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT monsencraig anovelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT takharsukhjit anovelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT landmanadam anovelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT morawskikyle novelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT monsencraig novelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT takharsukhjit novelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy
AT landmanadam novelinformationretrievaltooltofindhospitalcareteammembersdevelopmentandusabilitystudy