title: Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems.
abstract: We conducted three evaluation studies in community and hospital settings to examine point-of-care documentation system adoption among interdisciplinary care team clinicians. In the community settings, quantitative methods included documentation time-to-completion and a clinician satisfaction survey. Qualitative methods included observations and follow-up interviews. Qualitative data and quantitative data were merged comparing findings along themes. In the hospitals, qualitative scenario testing results indicated clinician system adoption was universal, though not always timely. At all sites, mismatch between system functionality and workflow was a barrier to clinician system access during patient care and reduced clinician efficiency. Clinicians at all settings were satisfied with their ability to access other clinicians' notes, without increased interdisciplinary team communication. Clinicians did not identify any systems impact on patient outcomes. To facilitate adoption, clinicians should see the value of using the system as intended by receiving system data feedback that shows improvement of patient care and patient safety.
authors.affiliation: Drexel University College of Nursing and Health Professions.
authors.forename: Paulina S
authors.initials: PS
authors.lastname: Sockolow
authors.affiliation: University of Pennsylvania School of Nursing.
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Bowles
authors.affiliation: Drexel University School of Information Systems.
authors.forename: Michelle
authors.initials: M
authors.lastname: Rogers
authors.affiliation: Abington Memorial Hospital, Abington, PA, USA.
authors.forename: Marguerite C
authors.initials: MC
authors.lastname: Adelsberger
authors.affiliation: University of Pennsylvania School of Nursing.
authors.forename: Jesse L
authors.initials: JL
authors.lastname: Chittams
authors.affiliation: Temple University College of Health Professions and Social Work, Philadelphia, PA, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Liao
mesh_terms: D001291:Attitude of Health Personnel; D004282:Documentation / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D009737:Nursing Records / Q000706:statistics & numerical data*; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010414:Pennsylvania; D019095:Point-of-Care Systems / Q000706:statistics & numerical data*