ArticleJournal of the American Medical Informatics Association : JAMIA
Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use.
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 59 papers, 3 of them syntheses that pooled it.
What it found
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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
59 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.
- Health Information Exchange: Contributions from 2023.Yearbook of medical informatics · 2024Pooled it
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- Barriers and facilitators to exchanging health information: a systematic review.International journal of medical informatics · 2016Pooled it
- Article
- Technostress among nurses: boon or bane? The moderated mediation model.BMC nursing · 2025Article
- Electronic consent in clinical care: an international scoping review.BMJ health & care informatics · 2023Article
- The effect of My Health Record use in the emergency department on clinician-assessed patient care: results from a survey.BMC medical informatics and decision making · 2022Article
- Practice and market factors associated with provider volume of health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- "It's way more than just writing a prescription": A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder.Addiction science & clinical practice · 2021Article
- Readiness for Health Information Technology is Associated to Information Security in Healthcare Institutions.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2020Article
- Organizational diagnostics: a systematic approach to identifying technology and workflow issues in clinical settings.JAMIA open · 2020Article
- Hospital adoption of multiple health information exchange approaches and information accessibility.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- The complementary nature of query-based and directed health information exchange in primary care practice.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Screening for Substance Use in Rural Primary Care: a Qualitative Study of Providers and Patients.Journal of general internal medicine · 2019Article
- The Impacts of the Perceived Transparency of Privacy Policies and Trust in Providers for Building Trust in Health Information Exchange: Empirical Study.JMIR medical informatics · 2019Article
- Key Factors Affecting Ambulatory Care Providers' Electronic Exchange of Health Information With Affiliated and Unaffiliated Partners: Web-Based Survey Study.JMIR medical informatics · 2019Article
- The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients' Perspectives.Journal of medical Internet research · 2019Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Improving performance in the ED through laboratory information exchange systems.International journal of emergency medicine · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe goal of this study was to develop an in-depth understanding of how a health information exchange (HIE) fits into clinical workflow at multiple clinical sites. MATERIALS AND
methodsThe ethnographic qualitative study was conducted over a 9-month period in six emergency departments (ED) and eight ambulatory clinics in Memphis, Tennessee, USA. Data were collected using direct observation, informal interviews during observation, and formal semi-structured interviews. The authors observed for over 180 h, during which providers used the exchange 130 times.
resultsHIE-related workflow was modeled for each ED site and ambulatory clinic group and substantial site-to-site workflow differences were identified. Common patterns in HIE-related workflow were also identified across all sites, leading to the development of two role-based workflow models: nurse based and physician based. The workflow elements framework was applied to the two role-based patterns. An in-depth description was developed of how providers integrated HIE into existing clinical workflow, including prompts for HIE use. DISCUSSION: Workflow differed substantially among sites, but two general role-based HIE usage models were identified. Although providers used HIE to improve continuity of patient care, patient-provider trust played a significant role. Types of information retrieved related to roles, with nurses seeking to retrieve recent hospitalization data and more open-ended usage by nurse practitioners and physicians. User and role-specific customization to accommodate differences in workflow and information needs may increase the adoption and use of HIE.
conclusionUnderstanding end users' perspectives towards HIE technology is crucial to the long-term success of HIE. By applying qualitative methods, an in-depth understanding of HIE usage was developed.
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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.