ArticleJournal of the American Medical Directors Association2025
Qualitative Study of the Context of Health Information Technology in Sepsis Care Transitions: Facilitators, Barriers, and Strategies for Improvement.
Article in Journal of the American Medical Directors Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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Who cites it
3 citing papers in PubMed.
- Strategies to address implementation barriers in sepsis survivors' care transitions to home health and outpatient care: a multi-site, type 1 hybrid implementation study.BMC health services research · 2026Article
- Early emergency department decision support for heart failure hospitalization using triage-level unstructured and structured data: a retrospective cohort study.BMC medical informatics and decision making · 2026Article
- Envisioning Home Health as a Critical Component of Learning Health Systems to Improve Evidence-Based Care in Heart Failure.JACC. Advances · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo examine how health information technology (HIT) supports timely post-acute home health and outpatient care for sepsis survivors by identifying facilitators, barriers, and proposed strategies.
designQualitative descriptive study. SETTING AND
participantsClinicians, care coordinators, sepsis coordinators, and administrators from 5 US health systems (hospitals and outpatient clinics) and affiliated home health care (HHC) agencies.
methodsWe conducted semi-structured interviews, which were recorded, transcribed, and analyzed using thematic analysis with both deductive and inductive coding. Deductive coding was guided by the Consolidated Framework for Implementation Research to systematically assess barriers and facilitators of the intervention. The analysis achieved more than 90% interrater reliability, and member checking enhanced trustworthiness. After coding was finalized, a query was generated to identify electronic health record (EHR)-related themes that support or hinder health information management in electronic systems.
resultsSixty-one interviews with 91 participants identified 17 themes related to HIT's role in care transitions for sepsis survivors. HIT facilitated sepsis identification, documentation, communication, information sharing, care coordination, and quality monitoring during hospital-to-home transitions. Barriers included missing, delayed, or inaccessible information across disparate EHR systems. Proposed strategies include establishing interoperable EHR systems and leveraging HIT tools to improve identification, communication, and care coordination for timely follow-up care, with continuous monitoring of functionality. CONCLUSIONS AND IMPLICATIONS: HIT plays a central role in care transitions, improving information sharing, communication, and coordination, ultimately enhancing patient outcomes and safety. Administrators can improve data integration and quality monitoring with interoperable systems, and policymakers can promote adoption through financial incentives. The advancement of technologies, including HIT tools, may offer opportunities to further optimize sepsis identification, communication, and care coordination, promoting seamless care transitions.
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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.