Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study.
BACKGROUND
Clinical pathways (CPs) have been evaluated with regard to process optimization, economic effects, quality of care, patient satisfaction and staff satisfaction. IT- (information technology) supported CPs, integrated within the HIS (hospital information system), have been implemented in our department in 2004 for the first time world-wide. Herein, we describe the effect of this new concept on medical staff satisfaction.


METHODS
A prospective anonymous and voluntary survey with standardized questionnaires was performed annually from 2006 until 2009 evaluating staff satisfaction concerning CPs. Questions comprised satisfaction with the software, staff's attitude towards CPs and the impact of CPs on work-related processes.


RESULTS
Within the observation period the term "clinical pathways" became more common among doctors and nurses. Knowledge of the aims of CPs increased significantly in nursing staff (43.4-74.5%), whereas doctor's knowledge was on a constant high level. Standardization, process facilitation and cost effectiveness were the most claimed goals of CPs. Comprehensibility of the single steps within CPs was on a constant high level over the observation period. Generally, graphical layout and usability of CPs ranged on a very high satisfaction level. Acceptability of IT-supported CPs is independent from staffs computer knowledge.


CONCLUSIONS
Staff satisfaction with IT-supported CPs needs to take into account the job characteristics of the different professional groups. IT-supported CPs are leading to a high staff satisfaction, the aims of CPs are widely understood by medical employees. IT-supported CPs may ameliorate staff satisfaction and thereby enhance workflow efficiencies.
Department of General-, Visceral-, Vascular- and Pediatric Surgery, University Hospital of the Saarland, 66421 Homburg/Saar, Germany.
Jochen
J
Schuld
Thilo
T
Schäfer
Stefan
S
Nickel
Peter
P
Jacob
Martin K
MK
Schilling
Sven
S
Richter
D000328:Adult; D015331:Cohort Studies; D019091:Critical Pathways / Q000592:standards*; D005260:Female; D006751:Hospital Information Systems / Q000592:standards*; D006785:Hospitals, University / Q000592:standards*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008503:Medical Staff / Q000523:psychology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires