ArticleJournal of the American Medical Informatics Association : JAMIA
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.
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 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of mobile technology on teamwork and communication in hospitals: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Interprofessional Communication of Clinicians Using a Mobile Phone App: A Randomized Crossover Trial Using Simulated Patients.Journal of medical Internet research · 2016Trial
- Technology-based challenges of informal clinical communication in an Australian tertiary referral hospital: a survey-based assessment of user perspectives.BMJ open quality · 2025Article
- Article
- Enhancing the Efficiency of a Radiation Oncology Department Using Electronic Medical Records: Protocol for Preparing Radiotherapy.JMIR research protocols · 2024Article
- It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Team Dynamics in Hospital Workflows: An Exploratory Study of a Smartphone Task Manager.JMIR medical informatics · 2021Article
- High-efficiency Practices of Residents in an Academic Emergency Department: A Mixed-methods Study.AEM education and training · 2021Article
- The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting.Journal of patient experience · 2020Article
- Electronic Task Management System: A Pediatric Institution's Experience.Applied clinical informatics · 2020Article
- Inpatient Communication Networks: Leveraging Secure Text-Messaging Platforms to Gain Insight into Inpatient Communication Systems.Applied clinical informatics · 2019Article
- The role of the smartphone in the transition from medical student to foundation trainee: a qualitative interview and focus group study.BMC medical education · 2018Article
- A Novel Information Retrieval Tool to Find Hospital Care Team Members: Development and Usability Study.JMIR human factors · 2018Article
- The Perceived Ease of Use and Usefulness of Loop: Evaluation and Content Analysis of a Web-Based Clinical Collaboration System.JMIR human factors · 2018Article
- Smartphone, the New Learning Aid amongst Medical Students.Journal of clinical and diagnostic research : JCDR · 2017Article
- Using telephony data to facilitate discovery of clinical workflows.Applied clinical informatics · 2017Article
- Analysis of Smartphone Interruptions on Academic General Internal Medicine Wards. Frequent Interruptions may cause a 'Crisis Mode' Work Climate.Applied clinical informatics · 2017Article
- Perfect Storm of Inpatient Communication Needs and an Innovative Solution Utilizing Smartphones and Secured Messaging.Applied clinical informatics · 2016Article
- Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages.PloS one · 2016Article
- Mobile health in maternal and newborn care: fuzzy logic.International journal of environmental research and public health · 2014Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective clinical communication is critical to providing high-quality patient care. Hospitals have used different types of interventions to improve communication between care teams, but there have been few studies of their effectiveness.
objectivesTo describe the effects of different communication interventions and their problems.
designProspective observational case study using a mixed methods approach of quantitative and qualitative methods.
settingGeneral internal medicine (GIM) inpatient wards at five tertiary care academic teaching hospitals.
participantsClinicians consisting of residents, attending physicians, nurses, and allied health (AH) staff working on the GIM wards.
methodsEthnographic methods and interviews with clinical staff (doctors, nurses, medical students, and AH professionals) were conducted over a 16-month period from 2009 to 2010.
resultsWe identified four categories that described the intended and unintended consequences of communication interventions: impacts on senders, receivers, interprofessional collaboration, and the use of informal communication processes. The use of alphanumeric pagers, smartphones, and web-based communication systems had positive effects for senders and receivers, but unintended consequences were seen with all interventions in all four categories.
conclusionsInterventions that aimed to improve clinical communications solved some but not all problems, and unintended effects were seen with all systems.
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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.