The effects of health information technology change over time: a study of Tele-ICU functions.

Appl Clin Inform

Center for Research & Innovation in Systems Safety, Vanderbilt University Medical Center (VUMC), Nashville, TN 37209, USA.

Published: October 2013

Objectives: Longitudinal studies exploring the evolution of health information technology functions provide valuable information about how technology systems are integrated and exploited in situ. This study reports changes in the distribution of functions for a specific health information technology, the tele-ICU, over time. The studied tele-ICU provided care to six remote ICUs within a local geographic region in the same state and had nursing staff around the clock.

Methods: The intervention logs of tele-ICU nurses were collected during two discrete times and coded into nine emergent functional categories, who initiated the intervention and, if required, subsequent escalation. All coded functional categories were investigated for significant changes over time in the nursing logged interventions.

Results: A total of 1927 interventions were coded into the nine emergent functional categories. Seven of the nine categories (78%) were significantly different between 2005 and 2007. The functions of the tele-ICU system continue to change and develop over time.

Conclusion: These findings suggest that the tele-ICU increased support when ICU nurses were off the unit, inter-hospital coordinating and adherence to best practices, while simultaneously decreasing real-time support for ICU nurses. This research suggests that sustaining safety features in a new technology over time have post-conditions after implementation.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613018PMC
http://dx.doi.org/10.4338/ACI-2011-12-RA-0073DOI Listing

Publication Analysis

Top Keywords

health technology
12
functional categories
12
coded emergent
8
emergent functional
8
support icu
8
icu nurses
8
tele-icu
6
technology
5
effects health
4
technology change
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!