Use of Simulated Physician Handoffs to Study Crosscover Chart Biopsy inthe Electronic Medical Record

AMIA 2013 Annual Symposium

Logan Kendall1 ; Predrag Klasnja ; PhD2 ; Justin Iwasaki ; MD ; MPH1 ; Jennifer A. Best ; MD

PID  :  122601

来源: CEUR

【 摘 要 】

Clinical handoffs involve the rapid transfer of patient information from one provider or team to another, throughactivities which may introduce errors and affect care delivery. “Crosscoverage” requires quickly familiarizingoneself with unfamiliar patients whose management plans were established by another provider or team. Through thiswork, we describe physicians’ information seeking approaches within an electronic medical record (EMR) duringphysician handoff and chart biopsy at a major academic medical center. We conducted simulated handoff sessionsand interviews with 21 physicians using standardized patient cases and we analyzed screen capture data, and videoand audio recordings of interactions with the EMR and handoff printouts. We found highly variable navigation of theEMR but greater similarity in physicians’ EMR navigation behavior when the chart review was prompted by simulatedinterruptions. Understanding how physicians seek and assimilate patient data can inform handoff tool design and