title: Who's My Doctor? Using an Electronic Tool to Improve Team Member Identification on an Inpatient Pediatrics Team.
abstract: OBJECTIVE
  Increase parent/caregiver ability to correctly identify the attending in charge and define terminology of treatment team members (TTMs). We hypothesized that correct TTM identification would increase with use of an electronic communication tool. Secondary aims included assessing subjects' satisfaction with and trust of TTM and interest in computer activities during hospitalization.
  
  
  METHODS
  Two similar groups of parents/legal guardians/primary caregivers of children admitted to the Pediatric Hospital Medicine teaching service with an unplanned first admission were surveyed before (Phase 1) and after (Phase 2) implementation of a novel electronic medical record (EMR)-based tool with names, photos, and definitions of TTMs. Physicians were also surveyed only during Phase 1. Surveys assessed TTM identification, satisfaction, trust, and computer use.
  
  
  RESULTS
  More subjects in Phase 2 correctly identified attending physicians by name (71% vs. 28%, P < .001) and correctly defined terms intern, resident, and attending (P ≤ .03) compared with Phase 1. Almost all subjects (>79%) and TTMs (>87%) reported that subjects' ability to identify TTMs moderately or strongly impacted satisfaction and trust. The majority of subjects expressed interest in using computers to understand TTMs in each phase.
  
  
  CONCLUSIONS
  Subjects' ability to correctly identify attending physicians and define TTMs was significantly greater for those who used our tool. In our study, subjects reported that TTM identification impacted aspects of the TTM relationship, yet few could correctly identify TTMs before tool use. This pilot study showed early success in engaging subjects with the EMR in the hospital and suggests that families would engage in computer-based activities in this setting.
authors.affiliation: Division of Pediatric Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California; atsingh@stanford.edu.
authors.forename: Amit
authors.initials: A
authors.lastname: Singh
authors.affiliation: Division of Academic General Pediatrics, Developmental Pediatrics, and Community Health, and.
authors.forename: Kyung E
authors.initials: KE
authors.lastname: Rhee
authors.affiliation: Department of Emergency Medicine, and.
authors.forename: Jesse J
authors.initials: JJ
authors.lastname: Brennan
authors.affiliation: Division of Pediatric Hospital Medicine, Department of Pediatrics, Information Services Division and.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Kuelbs
authors.affiliation: Department of Medicine, University of California San Diego School of Medicine, San Diego, California; and.
authors.forename: Robert
authors.initials: R
authors.lastname: El-Kareh
authors.affiliation: Division of Pediatric Hospital Medicine, Department of Pediatrics, Department of Quality Management, Rady Children's Hospital San Diego, San Diego, California.
authors.forename: Erin S
authors.initials: ES
authors.lastname: Fisher
mesh_terms: D002140:California; D017028:Caregivers / Q000523:psychology; D002648:Child; D057286:Electronic Health Records; D005190:Family / Q000523:psychology*; D006776:Hospitals, Pediatric; D006801:Humans; D007297:Inpatients; D008505:Medical Staff, Hospital; D010348:Patient Care Team; D010372:Pediatrics; D010549:Personal Satisfaction; D010817:Physician-Patient Relations; D010865:Pilot Projects; D011446:Prospective Studies