Abstract
IntroductionElectronic patient records are becoming more common in critical care. As their design and implementation are optimized for single users rather than for groups, we aimed to understand the differences in interaction between members of a multidisciplinary team during ward rounds using an electronic, as opposed to paper, patient medical record.MethodsA qualitative study of morning ward rounds of an intensive care unit that triangulates data from video-based interaction analysis, observation, and interviews.ResultsOur analysis demonstrates several difficulties the ward round team faced when interacting with each other using the electronic record compared with the paper one. The physical setup of the technology may impede the consultant's ability to lead the ward round and may prevent other clinical staff from contributing to discussions.ConclusionsWe discuss technical and social solutions for minimizing the impact of introducing an electronic patient record, emphasizing the need to balance both. We note that awareness of the effects of technology can enable ward-round teams to adapt their formations and information sources to facilitate multidisciplinary communication during the ward round.
Highlights
Electronic patient records are becoming more common in critical care
Our analysis demonstrates several difficulties the ward round team faced when interacting with each other using the electronic record compared with the paper one
Technology designed for a single user, like most Electronic patient records (EPRs) systems, poses challenges to group interaction – an issue not widely discussed in the healthcare literature
Summary
Electronic patient records are becoming more common in critical care. As their design and implementation are optimized for single users rather than for groups, we aimed to understand the differences in interaction between members of a multidisciplinary team during ward rounds using an electronic, as opposed to paper, patient medical record. Electronic patient records (EPRs) are progressively being implemented in many hospitals. Ward rounds are a notable hospital context in which staff work as a group. Technology designed for a single user, like most EPR systems, poses challenges to group interaction – an issue not widely discussed in the healthcare literature. Using theory from the field of human–computer interaction, we eval-
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