Cognitive Artifacts' Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work

Author(s):  
Christopher Nemeth ◽  
◽  
Michael O'Connor ◽  
P. Allan Klock ◽  
Richard Cook
2016 ◽  
Vol 32 (5) ◽  
pp. 547-551 ◽  
Author(s):  
Deanne T. Kashiwagi ◽  
Meredie D. Sexton ◽  
C. Estelle Souchet Graves ◽  
Jay M. Johnson ◽  
Byron I. Callies ◽  
...  

Health care information technology (IT) outages pose a threat to patient safety and patient care continuity. Organizations’ downtime plans must be updated regularly and staff at the work area level should have experience with implementing IT outage operations through downtime drills. This article describes the study institution’s IT Outage Toolkit, based on the acronym CLEAR, which guides the development of a downtime plan as well as design, execution, and assessment of work area downtime drills. Self-report and external audits of downtime drills help identify performance gaps and gaps in downtime plans.


2007 ◽  
Vol 50 (2) ◽  
pp. 34-42 ◽  
Author(s):  
Rakesh Agrawal ◽  
Tyrone Grandison ◽  
Christopher Johnson ◽  
Jerry Kiernan

The purpose of this chapter is to assess and examine the impact health care information technology (HIT) on physician-nurse performance related to patient trust and safety. A considerable number of patients today are using different HITs to get access to healthcare services such as appointment scheduling and medication refills; communicate with physicians and nurses for different computerized tailored interventions to manage a chronic condition or to change a health behavior. Improving the quality and safety of care, and reducing the medical errors are of equal responsibility of all clinicians and all healthcare staff. Patient safety is the most critical factor of the medical and healthcare quality, where nurses can be invaluable in preventing harm to patients, reducing errors and improving patients' outcomes. The chapter shows that there are many advantages of Web-acquired healthcare related information. The main question is how will efficient use of HIT by patients improve healthcare quality, patient trust and safety.


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