Obstacles Experienced by Care Managers in Managing Information for the Care of Chronically Ill Patients.

Care managers play a key role in coordinating care, especially for patients with chronic conditions. They use multiple health information technology application in order to access, process and communicate patient-related information. Using the work system model and its extension, the SEIPS model (Carayon et al.

Perceived Impact of Care Managers' Work on Patient and Clinician Outcomes.

Objectives: The aim of this study is to assess the contributions of care management as perceived by care managers themselves.

Study Design: Focus groups and interviews with care managers who coordinate care for chronic obstructive pulmonary disease and congestive heart failure patients, as well as patients undergoing major surgery.

Methods: We collected data in focus groups and interviews with 12 care managers working in the Keystone Beacon Community project, including 5 care managers working in hospitals, 2 employed in outpatient clinics and 4 telephoning discharged patients from a Transitions of Care (TOC) call center.

A systematic review of mixed methods research on human factors and ergonomics in health care.

This systematic literature review provides information on the use of mixed methods research in human factors and ergonomics (HFE) research in health care. Using the PRISMA methodology, we searched four databases (PubMed, PsycInfo, Web of Science, and Engineering Village) for studies that met the following inclusion criteria: (1) field study in health care, (2) mixing of qualitative and quantitative data, (3) HFE issues, and (4) empirical evidence. Using an iterative and collaborative process supported by a structured data collection form, the six authors identified a total of 58 studies that primarily address HFE issues in health information technology (e.

Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit.

Objective: To assess the impact of EHR technology on the work and workflow of ICU physicians and compare time spent by ICU resident and attending physicians on various tasks before and after EHR implementation.

Design: EHR technology with electronic order management (CPOE, medication administration and pharmacy system) and physician documentation was implemented in October 2007.

Measurement: We collected a total of 289 h of observation pre- and post-EHR implementation.

Motivation and job satisfaction of Tele-ICU nurses.

Introduction: Although the first tele-ICU has been in existence for more than 12 years, little is known about the work of tele-ICU nurses. This study examines sources of motivation and satisfaction of tele-ICU nurses.

Methods: A total of 50 nurses in 5 tele-ICUs were interviewed about reasons for working as a tele-ICU nurse and sources of satisfaction and dissatisfaction in their job.

Challenges to care coordination posed by the use of multiple health IT applications.

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e.