ArticleJournal of the American Medical Informatics Association : JAMIA
Clinical team functioning and IT innovation: a study of the diffusion of a point-of-care online evidence system.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Teamwork and implementation of innovations in healthcare and human service settings: a systematic review.Implementation science : IS · 2024Pooled it
- Hospital contextual factors affecting the implementation of health technologies: a systematic review.BMC health services research · 2021Pooled it
- Meausures of organizational characteristics associated with adoption and/or implementation of innovations: A systematic review.BMC health services research · 2017Pooled it
- Pooled it
- Teamwork assessment in internal medicine: a systematic review of validity evidence and outcomes.Journal of general internal medicine · 2014Pooled it
- Diffusion of innovations in service organizations: systematic review and recommendations.The Milbank quarterly · 2004Pooled it
- What drives adoption of a computerised, multifaceted quality improvement intervention for cardiovascular disease management in primary healthcare settings? A mixed methods analysis using normalisation process theory.Implementation science : IS · 2018Trial
- The National Paediatric Applied Research Translation Initiative (N-PARTI): using implementation science to improve primary care for Australian children with asthma, type 1 diabetes, and infections.BMC health services research · 2025Article
- Cluster-randomized implementation trial of two facilitation strategies to implement a novel information and communications technology at the Veterans Health Administration.Implementation science : IS · 2024Article
- How clinical teaching teams deal with educational change: 'we just do it'.BMC medical education · 2019Article
- Goal Pursuit in Organizational Health Interventions: The Role of Team Climate, Outcome Expectancy, and Implementation Intentions.Frontiers in psychology · 2019Article
- Innovative physical therapy practice: a qualitative verification of factors that support diffusion of innovation in outpatient physical therapy practice.Journal of healthcare leadership · 2016Article
- Interprofessional collaboration milestones: advocating for common assessment criteria in graduate medical education.BMC medical education · 2015Article
- The team climate inventory as a measure of primary care teams' processes: validation of the French version.Healthcare policy = Politiques de sante · 2014Article
- A new sociotechnical model for studying health information technology in complex adaptive healthcare systems.Quality & safety in health care · 2010Article
- Beyond patient safety Flatland.Journal of the Royal Society of Medicine · 2010Article
- Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study.BMC health services research · 2009Article
- The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks.BMC health services research · 2009Article
- Group differences in physician responses to handheld presentation of clinical evidence: a verbal protocol analysis.BMC medical informatics and decision making · 2007Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the association between clinical team functioning and diffusion (awareness, use, and impact) of a 24-hour online evidence retrieval system. To examine the relationships between clinical team characteristics and the adoption of the online evidence system.
design18 clinical teams, consisting of 180 clinicians from three Australian hospitals, were identified and studied. Teams were categorized as small (<or= 15 members) or large (> 15). MEASUREMENTS: Clinical team functioning was assessed using the Team Climate Inventory (TCI). Awareness, use, and impact of an online evidence retrieval system were measured using a self-administered questionnaire. The relationships between TCI scores and awareness, use, and impact were examined using t-tests and one-way ANOVAs. Chi square analyses were used to examine differences between small and large teams. RESULTS were interpreted within a diffusion of innovations framework.
resultsClinical team functioning was not related to awareness or use of the online evidence retrieval system. However, clinical team functioning was significantly associated with the impact of online evidence in terms of reported experience of improved patient care following system use. Clinicians in small teams (<or= 15 members) had higher levels of system awareness compared to large (> 15) teams.
conclusionsTeam functioning had the greatest impact on the fourth stage of innovation diffusion, the effective use of online evidence for clinical care. This supports Rogers' diffusion of innovation theory, to the effect that different types of communication about an innovation are important at different stages in the diffusion process. Members of small teams were more aware of the system than members of large teams. Team functioning is amenable to improvement through interventions. The findings suggest that the role of team climate in the diffusion of information systems is a promising area for future research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.