title: Information exchange in the NICU: what sources of patient data do physicians prefer to use?
abstract: BACKGROUND
  There are significant gaps in understanding what sources of patient information physicians utilize in the Neonatal Intensive Care Unit (NICU).
  
  
  OBJECTIVE
  We conducted a qualitative study of physicians' self-report of information-seeking behaviors in the NICU of an academic medical center.
  
  
  METHODS
  The study used a survey design to assess resident and faculty physicians' perceptions of their utilization of written and verbal sources of patient information. Faculty and resident responses were compared by t-tests to assess how perceptions of information-seeking behavior might differ between these two groups.
  
  
  RESULTS
  Of the options listed in our survey, the three most commonly reported information sources were: (1) the bedside flowsheet; (2) conversations with resident physicians; and (3) conversations with nurses. Notes written by physicians-especially resident notes-were the least reported source of patient information.
  
  
  CONCLUSIONS
  Physicians' preference to use verbal communication is consistent with prior studies. This study identifies that the bedside flowsheet is also an important source of information, while other written sources-especially resident notes-appear not to be utilized as frequently. Understanding why physicians use or fail to use different sources of patient information may shed light on ways to improve information exchange and reduce medical error in complex settings such as the NICU.
authors.affiliation: Department of Pediatrics, University of Virginia, Box 800386, Charlottesville, VA 22908, USA. pjb2m@virginia.edu
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Brown
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Borowitz
authors.forename: Wendy
authors.initials: W
authors.lastname: Novicoff
mesh_terms: D003625:Data Collection; D006801:Humans; D007231:Infant, Newborn; D007255:Information Services / Q000458:organization & administration*; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration*; D010818:Practice Patterns, Physicians'; D014481:United States