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Requirements of a new communication technology for handover and the escalation of patient care: a multi-stakeholder analysis

Title: Requirements of a new communication technology for handover and the escalation of patient care: a multi-stakeholder analysis
Authors: Johnston, MJ
King, D
Arora, S
Cooper, K
Panda, NA
Gosling, R
Singh, K
Sanders, B
Cox, B
Darzi, A
Item Type: Journal Article
Abstract: Rationale, aims and objectives In order to enable safe and efficient information transfer between health care professionals during clinical handover and escalation of care, existing communication technologies must be updated. This study aimed to provide a user‐informed guide for the development of an application‐based communication system (ABCS), tailored for use in patient handover and escalation of care. Methods Current methods of inter‐professional communication in health care along with information system needs for communication technology were identified through literature review. A focus group study was then conducted according to a topic guide developed by health innovation and safety researchers. Fifteen doctors and 11 nurses from three London hospitals participated in a mixture of homogeneous and heterogeneous sessions. The sessions were recorded and transcribed verbatim before being subjected to thematic analysis. Results Seventeen information system needs were identified from the literature review. Participants identified six themes detailing user perceptions of current communication technology, attitudes to smartphone technology and anticipated requirements of an application produced for handover and escalation of care. Participants were in favour of an ABCS over current methods and expressed enthusiasm for a system with integrated patient information and group‐messaging functions. Conclusion Despite concerns regarding confidentiality and information governance a robust guide for development and implementation of an ABCS was produced, taking input from multiple stakeholders into account. Handover and escalation of care are vital processes for patient safety and communication within these must be optimized. An ABCS for health care professionals would be a welcome innovation and may lead to improvements in patient safety.
Issue Date: 1-Aug-2014
Date of Acceptance: 24-Apr-2014
URI: http://hdl.handle.net/10044/1/60425
DOI: https://dx.doi.org/10.1111/jep.12186
ISSN: 1356-1294
Publisher: Wiley
Start Page: 486
End Page: 497
Journal / Book Title: Journal of Evaluation in Clinical Practice
Volume: 20
Issue: 4
Copyright Statement: © 2014 John Wiley & Sons, Ltd. This is the accepted version of the following article: Journal of Evaluation in Clinical Practice, Vol. 20, Iss. 4 (2014), p.486–497, which has been published in final form at https://dx.doi.org/10.1111/jep.12186
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: NF-SI-0510-10186
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
Medicine, General & Internal
General & Internal Medicine
hospital communication systems
medical informatics applications
quality of health care
qualitative research
Cell Phone
Computers, Handheld
Focus Groups
Hospital Communication Systems
Information Systems
Medical Staff, Hospital
Nursing Staff, Hospital
Patient Handoff
Qualitative Research
Wireless Technology
Cell Phones
1117 Public Health And Health Services
Health Policy & Services
Publication Status: Published
Online Publication Date: 2014-06-05
Appears in Collections:Imperial College Business School
Department of Surgery and Cancer
Institute of Global Health Innovation