Evidence map›Paper›PMID 28000116›Full record

ArticleJournal of medical systems2017

Communication Patterns in the Perioperative Environment During Epic Electronic Health Record System Implementation.

Tynan H Friend, Samantha J Jennings, Wilton C Levine

Abstract read
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In one paragraph

Article in Journal of medical systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tynan H FriendMassachusetts General Hospital, 55 Fruit Street, WHT 400, Boston, MA, 02114, USA. tfriend@partners.org.
Samantha J JenningsMassachusetts General Hospital, 55 Fruit Street, WHT 400, Boston, MA, 02114, USA.
Wilton C LevineMassachusetts General Hospital, 55 Fruit Street, WHT 400, Boston, MA, 02114, USA. wlevine@partners.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In April 2016, Massachusetts General Hospital (MGH) went live with the Epic electronic health records (EHR) system, replacing a variety of EHRs that previously existed in different departments throughout the hospital. At the time of implementation, the Vocera® Badge Communication System, a wireless hands-free communication device distributed to perioperative team members, had increased perioperative communication flow and efficiency. As a quality improvement effort to better understand communication patterns during an EHR go-live, we monitored our Vocera call volume and user volume before, during and after our go-live. We noticed that call volume and user volume significantly increased during our immediate go-live period and quickly returned to baseline levels. We also noticed that call volume increased during periods of unplanned EHR downtime long after our immediate go-live period. When planning the implementation of a new EHR, leadership must plan for and support this critical communication need at the time of the go-live and must also be aware of these needs during unplanned downtime.

Indexed as

CommunicationWireless TechnologyEfficiency, OrganizationalElectronic Health RecordsHumansPatient Care TeamPerioperative PeriodQuality ImprovementEHR/EMR implementationElectronic health recordsEpicPerioperative communicationVocera

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.