東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain : = An Implementation and Effectiveness Evaluation.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain :/
其他題名:	An Implementation and Effectiveness Evaluation.
作者:	Keniston, Angela Marie.
面頁冊數:	1 online resource (201 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Contained By:	Dissertations Abstracts International84-11B.
標題:	Health sciences. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30311962click for full text (PQDT)
ISBN:	9798379585280

Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain : = An Implementation and Effectiveness Evaluation.
Keniston, Angela Marie.

Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain :An Implementation and Effectiveness Evaluation. - 1 online resource (201 pages)

Source: Dissertations Abstracts International, Volume: 84-11, Section: B.

Thesis (Ph.D.)--University of Colorado Denver, Anschutz Medical Campus, 2023.

Includes bibliographical references

Background/Rationale Hospitals continue to struggle with hospital capacity strain and patient flow, which can be slowed by delays in patient discharge. EHR-based solutions like the Discharge Today tool, a real-time asynchronous method for interdisciplinary communication, can help by improving communication about discharge readiness. However, since the original small-scale pilot, adoption of the tool has declined, and its effectiveness has been suboptimal.Objective/Purpose The aims of this project were to: 1) characterize the context-specific barriers and facilitators influencing adoption of the Discharge Today tool and select potential implementation strategies, 2) pilot and evaluate the selected implementation strategies; and 3) evaluate the effectiveness of the Discharge Today tool.MethodsUtilizing qualitative data, we identified context-specific barriers and facilitators, and we selected implementation strategies hypothesized to influence these factors. We then measured the success of a four-part implementation strategy bundle using both quantitative and qualitative methods, grounded in Normalization Process Theory. Finally, we evaluated the effectiveness of the Discharge Today tool using linear mixed effects segmented regression modeling.ResultsOur analysis revealed that various factors contributed to communication difficulties and delayed patient discharge. However, clinical staff viewed the Discharge Today tool as a useful tool. Based on these findings, we created a four-part implementation strategy bundle that was found to be effective for increasing the use of the tool during both the active and passive implementation periods. The increased adoption of the tool was associated with improved timing of the discharge order and the patient's departure from the hospital. In addition, we observed a change in the rate of change in hospital length of stay during the active implementation period compared to the baseline period. ConclusionThe four-part implementation strategy bundle was successful in increasing adoption among clinicians. Additionally, use of the tool may have played a role in facilitating patient flow. This project reinforces the evidence supporting the application of validated frameworks or theories that could advance the design, implementation, and evaluation of HIT in a clinical setting. Other hospital operations evaluations may benefit from application of study designs and analytical methods that incorporate robust quality improvement techniques and rigorous research methods.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379585280Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

Discharge planningIndex Terms--Genre/Form:

542853
Electronic books.

Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain : = An Implementation and Effectiveness Evaluation.
LDR:04126nmm a2200409K 4500 001 2358380
005 20230731112635.5
006 m o d
007 cr mn ---uuuuu
008 241011s2023 xx obm 000 0 eng d
020 $a 9798379585280
035 $a (MiAaPQ)AAI30311962
035 $a AAI30311962
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Keniston, Angela Marie. $3 3698912
245 1 0 $a Applying Health Information Technology to Solve Patient Flow Challenges and Address Hospital Capacity Strain : $b An Implementation and Effectiveness Evaluation.
264 0 $c 2023
300 $a 1 online resource (201 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
500 $a Advisor: Battaglia, Catherine; Haugen, Heather.
502 $a Thesis (Ph.D.)--University of Colorado Denver, Anschutz Medical Campus, 2023.
504 $a Includes bibliographical references
520 $a Background/Rationale Hospitals continue to struggle with hospital capacity strain and patient flow, which can be slowed by delays in patient discharge. EHR-based solutions like the Discharge Today tool, a real-time asynchronous method for interdisciplinary communication, can help by improving communication about discharge readiness. However, since the original small-scale pilot, adoption of the tool has declined, and its effectiveness has been suboptimal.Objective/Purpose The aims of this project were to: 1) characterize the context-specific barriers and facilitators influencing adoption of the Discharge Today tool and select potential implementation strategies, 2) pilot and evaluate the selected implementation strategies; and 3) evaluate the effectiveness of the Discharge Today tool.MethodsUtilizing qualitative data, we identified context-specific barriers and facilitators, and we selected implementation strategies hypothesized to influence these factors. We then measured the success of a four-part implementation strategy bundle using both quantitative and qualitative methods, grounded in Normalization Process Theory. Finally, we evaluated the effectiveness of the Discharge Today tool using linear mixed effects segmented regression modeling.ResultsOur analysis revealed that various factors contributed to communication difficulties and delayed patient discharge. However, clinical staff viewed the Discharge Today tool as a useful tool. Based on these findings, we created a four-part implementation strategy bundle that was found to be effective for increasing the use of the tool during both the active and passive implementation periods. The increased adoption of the tool was associated with improved timing of the discharge order and the patient's departure from the hospital. In addition, we observed a change in the rate of change in hospital length of stay during the active implementation period compared to the baseline period. ConclusionThe four-part implementation strategy bundle was successful in increasing adoption among clinicians. Additionally, use of the tool may have played a role in facilitating patient flow. This project reinforces the evidence supporting the application of validated frameworks or theories that could advance the design, implementation, and evaluation of HIT in a clinical setting. Other hospital operations evaluations may benefit from application of study designs and analytical methods that incorporate robust quality improvement techniques and rigorous research methods.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Health sciences. $3 3168359
650 4 $a Information technology. $3 532993
650 4 $a Health care management. $3 2122906
653 $a Discharge planning
653 $a Health information technology
653 $a Hospital capacity strain
653 $a Implementation science
653 $a Interdisciplinary communication
653 $a Patient flow
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0566
690 $a 0489
690 $a 0769
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a University of Colorado Denver, Anschutz Medical Campus. $b Clinical Sciences. $3 3177673
773 0 $t Dissertations Abstracts International $g 84-11B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30311962 $z click for full text (PQDT)