Clinical handover improvement in context: exploring tensions between user-centred approaches and standardisation.
User-centred approaches in the development and evaluation of health information systems promote the importance of involving users and understanding their social contexts to optimise the quality and safety of these systems for patient care. Simultaneously, the standardisation of clinical practices has also been advocated to improve the quality and safety of patient care. In the context of clinical handover improvement within three different departments in one tertiary teaching hospital, this paper highlights the potential for tensions between these two approaches and explores their implications. Based on a user-centred approach, the paper reports on the unique requirements identified within each of the three departments for an information system to support improved clinical handover. Each department had clinical practices, work cultures and user requirements that needed to be considered and accommodated. This led to the project developing distinct minimum data sets for each of the three departments that posed challenges for efforts to standardise handover practices across the hospital and for building an integrated information system. While on the one hand accommodating unique departmental user requirements was valuable, they revealed the potential for the introduction of quality and safety risks at the organisational level. To resolve these tensions, the project team developed an approach called flexible standardisation that has now been embedded in Australia' s national guidelines on clinical handover improvement.
eHealth Services Research Group, School of Computing and Information Systems, University of Tasmania, Australia.
Ming Chao
MC
Wong
Paul
P
Turner
Kwang Chien
KC
Yee
D001315:Australia; D003256:Community Participation; D003258:Consumer Behavior; D006804:Ergonomics / Q000592:standards*; D063025:Health Information Management / Q000458:organization & administration*; D063005:Health Information Systems / Q000458:organization & administration*; D008490:Medical Informatics / Q000379:methods*; D020380:Needs Assessment / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D014584:User-Computer Interface