Appl Clin Inform 2015; 06(04): 677-683
DOI: 10.4338/ACI-2015-05-CR-0050
Case Report
Schattauer GmbH

A Mobile, Collaborative, Real Time Task List for Inpatient Environments

K.A. Michelson
1   Boston Children‘s Hospital, Boston, MA, United States
,
T. Ho
1   Boston Children‘s Hospital, Boston, MA, United States
,
A. Pelletier
2   Boston Children‘s Hospital, Innovation Acceleration Program, Boston, MA, United States
,
S. Al Ayubi
2   Boston Children‘s Hospital, Innovation Acceleration Program, Boston, MA, United States
,
F. Bourgeois
1   Boston Children‘s Hospital, Boston, MA, United States
› Author Affiliations
Further Information

Correspondence to:

Kenneth A. Michelson, MD
Division of Emergency Medicine, BCH 3066
Boston Children’s Hospital
300 Longwood Ave.
Boston, MA 02115
Phone: (617) 355–6624   
Fax: (617) 730–1024   

Publication History

received: 11 May 2015

accepted in revised form: 20 September 2015

Publication Date:
19 December 2017 (online)

 

Summary

Background: Inpatient teams commonly track their tasks using paper checklists that are not shared between team members. Team members frequently communicate redundantly in order to prevent errors.

Methods: We created a mobile, collaborative, real-time task list application on the iOS platform. The application listed tasks for each patient, allowed users to check them off as completed, and transmitted that information to all other team members. In this report, we qualitatively describe our experience designing and piloting the application with an inpatient pediatric ward team at an academic pediatric hospital.

Results: We successfully created the tasklist application, however team members showed limited usage.

Conclusion: Physicians described that they preferred the immediacy and familiarity of paper, and did not experience an efficiency benefit when using the electronic tasklist.


#

 


#

Conflicts of interest

The authors declare they have no conflicts of interest in the research.

  • References

  • 1 Joint Commission.. Sentinel Event Data –Root Causes by Event Type. http://www.jointcommission.orgsentinel_event_statistics/
  • 2 Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA 2013; 310 (21) 2262-2270.
  • 3 Tipping MD, Forth VE, Magill DB, Englert K, Williams MV. Systematic review of time studies evaluating physicians in the hospital setting. J Hosp Med 2010; 5 (06) 353-359.
  • 4 Morton JM, Baker CC, Farrell TM, Yohe ME, Kimple RJ, Herman DC, Udekwu P, Galanko JA, Behrns KE, Meyer AA. What do surgery residents do on their call nights?. Am J Surg 2004; 188 (03) 225-229.
  • 5 Lobo MJ, Crandley EF, Rumph JS, Kirk SE, Dunlap NE, Rahimi AS, Turner Jr AB, Larner JM, Read PW. Pilot Study of iPad Incorporation Into Graduate Medical Education. J Grad Med Educ 2013; 5 (01) 142-144.
  • 6 Stein DM, Wrenn JO, Stetson PD, Bakken S. What “to-do” with physician task lists: clinical task model development and electronic health record design implications. AMIA Annu Symp Proc 2009; 2009: 624-628.
  • 7 Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. J Am Coll Surg 2005; 200 (04) 538-545.
  • 8 Stein DM, Vawdrey DK, Stetson PD, Bakken S. An analysis of team checklists in physician signout notes. AMIA Annu Symp Proc 2010; 2010: 767-771.
  • 9 Collins SA, Stein DM, Vawdrey DK, Stetson PD, Bakken S. Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. J Biomed Inform 2011; 44 (04) 704-712.
  • 10 Campion TR, Weinberg ST, Lorenzi NM, Waitman LR. Evaluation of Computerized Free Text Sign-Out Notes: Baseline Understanding and Recommendations. Appl Clin Inform 2010; 1 (03) 304-317.
  • 11 Victores AJ, Coggins K, Takashima M. Electronic health records and resident workflow: A time-motion study of otolaryngology residents. Laryngoscope 2015; 125 (03) 594-598.
  • 12 Himmelstein DU, Wright A, Woolhandler S. Hospital computing and the costs and quality of care: a national study. Am J Med 2010; 123 (01) 40-46.
  • 13 Rashba HW. TRAKIT--a computer-assisted personal to-do list. Pediatrics 1989; 83: 1007-1010.
  • 14 Van Eaton EG, Horvath KD, Lober WB, Pellegrini CA. Organizing the transfer of patient care information: the development of a computerized resident sign-out system. Surgery 2004; 136 (01) 5-13.
  • 15 Pryss R, Mundbrod N, Langer D, Manfred R. Supporting medical ward rounds through mobile task and process management. Inf Syst E-bus Manag 2015; 13 (01) 107-146.

Correspondence to:

Kenneth A. Michelson, MD
Division of Emergency Medicine, BCH 3066
Boston Children’s Hospital
300 Longwood Ave.
Boston, MA 02115
Phone: (617) 355–6624   
Fax: (617) 730–1024   

  • References

  • 1 Joint Commission.. Sentinel Event Data –Root Causes by Event Type. http://www.jointcommission.orgsentinel_event_statistics/
  • 2 Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA 2013; 310 (21) 2262-2270.
  • 3 Tipping MD, Forth VE, Magill DB, Englert K, Williams MV. Systematic review of time studies evaluating physicians in the hospital setting. J Hosp Med 2010; 5 (06) 353-359.
  • 4 Morton JM, Baker CC, Farrell TM, Yohe ME, Kimple RJ, Herman DC, Udekwu P, Galanko JA, Behrns KE, Meyer AA. What do surgery residents do on their call nights?. Am J Surg 2004; 188 (03) 225-229.
  • 5 Lobo MJ, Crandley EF, Rumph JS, Kirk SE, Dunlap NE, Rahimi AS, Turner Jr AB, Larner JM, Read PW. Pilot Study of iPad Incorporation Into Graduate Medical Education. J Grad Med Educ 2013; 5 (01) 142-144.
  • 6 Stein DM, Wrenn JO, Stetson PD, Bakken S. What “to-do” with physician task lists: clinical task model development and electronic health record design implications. AMIA Annu Symp Proc 2009; 2009: 624-628.
  • 7 Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. J Am Coll Surg 2005; 200 (04) 538-545.
  • 8 Stein DM, Vawdrey DK, Stetson PD, Bakken S. An analysis of team checklists in physician signout notes. AMIA Annu Symp Proc 2010; 2010: 767-771.
  • 9 Collins SA, Stein DM, Vawdrey DK, Stetson PD, Bakken S. Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. J Biomed Inform 2011; 44 (04) 704-712.
  • 10 Campion TR, Weinberg ST, Lorenzi NM, Waitman LR. Evaluation of Computerized Free Text Sign-Out Notes: Baseline Understanding and Recommendations. Appl Clin Inform 2010; 1 (03) 304-317.
  • 11 Victores AJ, Coggins K, Takashima M. Electronic health records and resident workflow: A time-motion study of otolaryngology residents. Laryngoscope 2015; 125 (03) 594-598.
  • 12 Himmelstein DU, Wright A, Woolhandler S. Hospital computing and the costs and quality of care: a national study. Am J Med 2010; 123 (01) 40-46.
  • 13 Rashba HW. TRAKIT--a computer-assisted personal to-do list. Pediatrics 1989; 83: 1007-1010.
  • 14 Van Eaton EG, Horvath KD, Lober WB, Pellegrini CA. Organizing the transfer of patient care information: the development of a computerized resident sign-out system. Surgery 2004; 136 (01) 5-13.
  • 15 Pryss R, Mundbrod N, Langer D, Manfred R. Supporting medical ward rounds through mobile task and process management. Inf Syst E-bus Manag 2015; 13 (01) 107-146.