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Utvikling og implementering av digital samhandling og oppgavestøtte på KAD. Et regionalt forsknings- og innovasjonsprosjekt
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ausen, Dag Austad, Hanne Opsahl Svagård, Ingrid S. Landmark, Andreas D. Tjønnås, Maria Suong Rohde, Tarald Halvorsen, Trond Halvorsen, Marit Trondsen, Trond Tomasevic, Tanja |
| Copyright Year | 2017 |
| Abstract | Nurses working in out-of-hour clinics under varying demands will need to prioritize resources and quickly determine which patients are seen first. The Manchester Triage System (MTS) a validated and evaluated system, shown to provide high sensitivity and specificity with regards to under/over triage. The MTS method and an electronic MTS tool were tested in a pilot trial as a means of improving the efficiency in time spent on triages without reducing the quality. The aim was to explore the experiences of using MTS method and the electronic MTS tool at a accident and emergency out-patient clinic through audit of triage records, observation and focus group interviews. Significant practice variation was uncovered. The variation stemmed from interruptions, documentation routines and language issues. Small improvements in time spent was shown, but primary benefits lies elsewhere. Electronic triage seems to have a commensurable quality, with areas for improvement. Conclusions: The study has shown that perhaps in spite of varied and partly cumbersome work processes, the quality of the triage seems adequate. MTS seems a well-suited tool not only for prioritisation, but for ensuring patient safety through imposing standards and quality assurance methods on the primary patient assessment in out-of-hours emergency care. Arguably triage is not primarily a resource contention tool in the particular setting of this study. Electronic triage seems to have a commensurable quality, with areas for improvement. The less tangible qualities such as structured process support, documentation support and ease-of-use and professionality adds to the benefits of an electronic triage tool. The adherence to protocol seems improved by inscribing the protocol into the tool itself. Samhandlingsstudien Halvorsen M, Austad H O, Landmark A, Svagård I, Ausen D, Tomasevic T, Trondsen T, "Redesigning work with a Light Weight Approach to Coordination Technology", submitted to Computers, Informatics, Nursing, 7.12.2017 Abstract: Coordination of information and resources are central to management of ward care. Tools to aid in such coordination range from standardised procedures and paper lists, to electronic tools such as whiteboards and mobile solutions. In this study, we report on the experiences and effects of designing and implementing collaboration technology and how this has enabled redesign of traditional work processes. The research has been conducted as a joint activity between researchers and practitioners, in an action research-based development and implementation process. The implementation was conducted with iterative user-centred design methods. The process has been evaluated through observations, informal interviews and employee and patient surveys, interpreted through the lens of light weight technology. Coordination of information and resources are central to management of ward care. Tools to aid in such coordination range from standardised procedures and paper lists, to electronic tools such as whiteboards and mobile solutions. In this study, we report on the experiences and effects of designing and implementing collaboration technology and how this has enabled redesign of traditional work processes. The research has been conducted as a joint activity between researchers and practitioners, in an action research-based development and implementation process. The implementation was conducted with iterative user-centred design methods. The process has been evaluated through observations, informal interviews and employee and patient surveys, interpreted through the lens of light weight technology. In addition to the expected changes in work processes, we found that the short redesign cycles with heavy user involvement afforded by this technology, enabled implementation of new ways of structuring and combining information that were not foreseen. This turned the collaboration technology into a tool that also guided the prioritizing between tasks, and is highly contributing to the effects seen in use of resources, user satisfaction and quality of treatment. Conclusion: This study has shown that LWT is a tool suitable for supporting and driving organisation change. The looser coupling in terms of ICT, but more importantly in established work processes and organisational structures, means that the benefits of such a technology adoption is larger than the individual tools themselves. This we believe is generalizable outside the scope of a short-term ward, and applies to work-supporting technology in general. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.sintef.no/globalassets/sintef-teknologi-og-samfunn/prosjektwebber/velferdsteknologi/sluttrapport-samkad_sintef-2017-00881.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
