Requirements of a new communication technology for handover and the escalation of patient care: a multi‐stakeholder analysis. Issue 4 (5th June 2014)

• Record Type: Journal Article
• Authors: Johnston, Maximilian J.; King, Dominic; Arora, Sonal; Cooper, Kerri; Panda, Neha Aparajita; Gosling, Rebecca; Singh, Kaushiki; Sanders, Bradley; Cox, Benita; Darzi, Ara
• Is Part Of: Journal of evaluation in clinical practice. Volume 20:Issue 4(2014)
• Page Start: 486
• Page End: 497
• Publication Date: 2014-06-05
• Subjects: Clinical medicine -- Periodicals; 616.005
• DOI: 10.1111/jep.12186
• Languages: English
• ISSNs: 1356-1294

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jep12186-sec-0001" sec-type="section"> <title>Rationale, aims and objectives</title> <p>In order to enable safe and efficient information transfer between health care professionals during clinical handover and escalation of care, existing communication technologies must be updated. This study aimed to provide a user‐informed guide for the development of an application‐based communication system (ABCS), tailored for use in patient handover and escalation of care.</p> </sec> <sec id="jep12186-sec-0002" sec-type="section"> <title>Methods</title> <p>Current methods of inter‐professional communication in health care along with information system needs for communication technology were identified through literature review. A focus group study was then conducted according to a topic guide developed by health innovation and safety researchers. Fifteen doctors and 11 nurses from three London hospitals participated in a mixture of homogeneous and heterogeneous sessions. The sessions were recorded and transcribed verbatim before being subjected to thematic analysis.</p> </sec> <sec id="jep12186-sec-0003" sec-type="section"> <title>Results</title> <p>Seventeen information system needs were identified from the literature review. Participants identified six themes detailing user perceptions of current communication technology, attitudes to smartphone technology and anticipated requirements of an application produced for handover and escalation of care. Participants were in favour of an ABCS over current methods and expressed enthusiasm for a system with integrated patient information and group‐messaging functions.</p> </sec> <sec id="jep12186-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Despite concerns regarding confidentiality and information governance a robust guide for development and implementation of an ABCS was produced, taking input from multiple stakeholders into account. Handover and escalation of care are vital processes for patient safety and communication within these must be optimized. An ABCS for health care professionals would be a welcome innovation and may lead to improvements in patient safety.</p> </sec> </abstract>