Evidence map›Paper›PMID 30894398›Full record

ArticleHospital pediatrics2019

Parent Perceptions of Real-time Access to Their Hospitalized Child's Medical Records Using an Inpatient Portal: A Qualitative Study.

Michelle M Kelly, Anne S Thurber, Ryan J Coller, Alisa Khan, Shannon M Dean, Windy Smith, Peter L T Hoonakker

Abstract read
In one paragraph

Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  15. Designing Inpatient Portals to Support Patient Agency and Dynamic Hospital Experiences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    Article
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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

7 authors.

Michelle M KellyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; michelle.kelly@wisc.edu.
Anne S ThurberDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Ryan J CollerDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Alisa KhanDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Shannon M DeanDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Windy SmithUniversity of Wisconsin Health, Madison, Wisconsin.
Peter L T HoonakkerCenter for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, Wisconsin.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Family Activation and Communication about Errors and Safety (FACES)K08HS025781 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI KHAN, ALISA · 2018 to 2019
$308k
AHRQ HHS K08 HS025781NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEngaging with parents in care improves pediatric care quality and patient safety; however, parents of hospitalized children often lack the information necessary to effectively participate. To enhance engagement, some hospitals now provide parents with real-time online access to information from their child's inpatient medical record during hospitalization. Whether these "inpatient portals" provide benefits for parents of hospitalized children is unknown. Our objectives were to identify why parents used an inpatient portal application on a tablet computer during their child's hospitalization and identify their perspectives of ways to optimize the technology.

methodsSemistructured in-person interviews were conducted with 14 parents who were given a tablet computer with a commercially available inpatient portal application for use throughout their child's hospitalization. The portal included vital signs, diagnoses, medications, laboratory test results, patients' schedule, messaging, education, and provider pictures and/or roles. Interviews were audio recorded and transcribed and continued until reaching thematic saturation. Three researchers used an inductive approach to identify emergent themes regarding why parents used the portal.

resultsFive themes emerged regarding parent motivations for accessing information within the portal: (1) monitoring progress, (2) feeling empowered and/or relying less on staff, (3) facilitating rounding communication and/or decision-making, (4) ensuring information accuracy and/or providing reassurance, and (5) aiding memory. Parents recommended that the hospital continue to offer the portal and expand it to allow parents to answer admission questions, provide feedback, and access doctors' daily notes.

conclusionsProviding parents with real-time clinical information during their child's hospitalization using an inpatient portal may enhance their ability to engage in caregiving tasks critical to ensuring inpatient care quality and safety.

Indexed as

Attitude to HealthChild, HospitalizedProfessional-Family RelationsAdultChildComputers, HandheldElectronic Health RecordsFemaleHospitals, PediatricHumansMaleParentsPatient PortalsQualitative Research

Identifiers

PMID30894398
PMCPMC6435002

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.