Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit

Onur Asan; Richard J. Holden; Kathryn E Flynn; Yushi Yang; Laila Azam; Matthew C Scanlon

doi:10.4338/ACI-2016-02-RA-0030

Applied Clinical Informatics, Table of Contents

Appl Clin Inform 2016; 07(03): 682-692
DOI: 10.4338/ACI-2016-02-RA-0030

Research Article

Schattauer GmbH

Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit

Large Customizable Interactive Monitor (LCIM)

Authors

Onur Asan

¹Center for Patient Care and Outcomes Research, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI,USA
Richard J. Holden

²School of Informatics and Computing, Indiana University-Purdue University, Indianapolis, IN, USA
Kathryn E Flynn

¹Center for Patient Care and Outcomes Research, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI,USA
Yushi Yang

³Department of Industrial Engineering, University of Wisconsin-Madison, Madison, WI, USA
Laila Azam

⁴Department of Public and Community Health, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA
Matthew C Scanlon

⁵Department of Pediatrics, Division of Critical Care, Medical College of Wisconsin, Milwaukee, WI, USA

Abstract

Summary

Objectives

The purpose of this study was to explore providers’ perspectives on the use of a novel technology, “Large Customizable Interactive Monitor” (LCIM), a novel application of the electronic health record system implemented in a Pediatric Intensive Care Unit.

Methods

We employed a qualitative approach to collect and analyze data from pediatric intensive care physicians, pediatric nurse practitioners, and acute care specialists. Using semi-structured interviews, we collected data from January to April, 2015. The research team analyzed the transcripts using an iterative coding method to identify common themes.

Results

Study results highlight contextual data on providers’ use routines of the LCIM. Findings from thirty six interviews were classified into three groups: 1) providers’ familiarity with the LCIM; 2) providers’ use routines (i.e. when and how they use it); and 3) reasons why they use or do not use it.

Conclusion

It is important to conduct baseline studies of the use of novel technologies. The importance of training and orientation affects the adoption and use patterns of this new technology. This study is notable for being the first to investigate a LCIM system, a next generation system implemented in the pediatric critical care setting. Our study revealed this next generation HIT might have great potential for family-centered rounds, team education during rounds, and family education/engagement in their child’s health in the patient room. This study also highlights the effect of training and orientation on the adoption patterns of new technology.

Citation: Asan O, Holden RJ, Flynn KE, Yang Y, Azam L, Scanlon MC. Provider use of a novel EHR display in the pediatric intensive care unit: Large customizable interactive monitor (LCIM).

Keywords

Health information technology - pediatric intensive care units - workflow - clinical information systems/testing and evaluation

Full Text

References

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