Universität zu Köln

Beckmann, Marina ORCID: 0000-0002-9826-3575, Dittmer, Kerstin, Jaschke, Julia, Karbach, Ute ORCID: 0000-0003-3479-9474, Koeberlein-Neu, Juliane, Nocon, Maya, Rusniok, Carsten, Wurster, Florian and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2021). Electronic patient record and its effects on social aspects of interprofessional collaboration and clinical workflows in hospitals (eCoCo): a mixed methods study protocol. BMC Health Serv. Res., 21 (1). LONDON: BMC. ISSN 1472-6963

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Abstract

Background The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefits from this system, the potential risks of using electronic patient records for hospitals, patients and healthcare professionals must also be discussed. There is a lack in research, particularly regarding effects on healthcare professionals and their daily work in health services. The study eCoCo aims to gain insight into changes in interprofessional collaboration and clinical workflows resulting from introducing electronic patient records. Methods eCoCo is a multi-center case study integrating mixed methods from qualitative and quantitative social research. The case studies include three hospitals that undergo the process of introducing electronic patient records. Data are collected before and after the introduction of electronic patient records using participant observation, interviews, focus groups, time measurement, patient and employee questionnaires and a questionnaire to measure the level of digitalization. Furthermore, documents (patient records) as well as structural and administrative data are gathered. To analyze the interprofessional collaboration qualitative network analyses, reconstructive-hermeneutic analyses and document analyses are conducted. The workflow analyses, patient and employee assessment analyses and classification within the clinical adoption meta-model are conducted to provide insights into clinical workflows. Discussion This study will be the first to investigate the effects of introducing electronic patient records on interprofessional collaboration and clinical workflows from the perspective of healthcare professionals. Thereby, it will consider patients' safety, legal and ethical concerns and quality of care. The results will help to understand the organization and thereby improve the performance of health services working with electronic patient records.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Beckmann, Marina UNSPECIFIED orcid.org/0000-0002-9826-3575 UNSPECIFIED Dittmer, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaschke, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED Koeberlein-Neu, Juliane UNSPECIFIED UNSPECIFIED UNSPECIFIED Nocon, Maya UNSPECIFIED UNSPECIFIED UNSPECIFIED Rusniok, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Wurster, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-578901
DOI:	10.1186/s12913-021-06377-5
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH RECORDS; QUALITY; IMPACT; CARE; COMMUNICATION; DOCUMENTATION; USABILITY; SAFETY Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57890