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18
June, 2013
Tuesday

clinical coordination

Operating room coordination with the eWhiteboard: the fine line between successful and challenged technology adoption

Taneva S et al, Health and Technology, 2011

With the goal to achieve a better understanding of the challenges to communication technology adoption in the clinical setting, we conducted intensive observations of activities of clinical and administrative staff in a large teaching hospital’s surgical unit prior to and 8-months post-implementation of an electronic whiteboard communication tool (eWhiteboard). The hospital IT department developed the e-Whiteboard for the support of inter-team coordination of patient status within the surgical flow. After the system had been integrated into the work process for 8 months, we conducted another round of intensive observations. The RATE data collection platform was utilized in both studies. Data were coded and analyzed quantitatively. Qualitative observational notes complemented the statistical results. We compared the pre- and post-implementation observational data with regard to communication load, types of coordination breakdowns, triggers, and consequences. Additionally, a questionnaire on perceived usefulness of the eWhiteboard was administered.
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Published: 22 September 2011 |
Keyword(s): Adoption, Clinical coordination, Communication, Medical Informatics, Trust, Whiteboards

An integrated health and social care organisation in Sweden: Creation and structure of a unique local public health and social care system

Øvretveit J et al, Health Policy, 2010

Research and citizens have noted failures in coordinating health and social services and professionals, and the need to address this issue to realize benefits from increasing specialisation. Different methods have been proposed and one has been structural integration of separate services within one organisation. This paper reports an empirical longitudinal study of the development of an integrated health and social care organisation in Sweden combining service provision, purchasing and political governance for a defined population.
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Published: 16 June 2010 |
Keyword(s): Clinical coordination, Integrated health system, integration, Public Health, Social services, Sweden

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