%0 Journal Article
%T Notifications of hospital events to outpatient clinicians using health information exchange: a post-implementation survey
%A Gilad J Kuperman
%A Jason S Shapiro
%A Richard Altman
%A Thomas Moore
%J -
%D -1
%X Background The trend towards hospitalist medicine can lead to disjointed patient care. Outpatient clinicians may be unaware of patientsĄ¯ encounters with a disparate healthcare system. Electronic notifications to outpatient clinicians of patientsĄ¯ emergency department (ED) visits and inpatient admissions and discharges using health information exchange can inform outpatient clinicians of patientsĄ¯ hospital-based events. Objective Assess outpatient cliniciansĄ¯ impressions of a new, secure messaging-based, patient event notification system. Methods Twenty outpatient clinicians receiving notifications of hospital-based events were recruited and 14 agreed to participate. Using a semi-structured interview, clinicians were asked about their use of notifications and the impact on their practices. Results Nine of 14 interviewed clinicians (64%) thought that without notifications, they would have heard about fewer than 10% of ED visits before the patientĄ¯s next visit. Nine clinicians (64%) thought that without notifications, they would have heard about fewer than 25% of inpatient admissions and discharges before the patientĄ¯s next visit. Six clinicians (43%) reported that they call the inpatient team more often because of notifications. Eight users (57%) thought that notifications improved patient safety by increasing their awareness of the patientsĄ¯ clinical events and their medication changes. Key themes identified were the importance of workflow integration and a desire for more clinical information in notifications. Conclusions The notification system is perceived by clinicians to be of value. These findings should instigate further message-oriented use of health information exchange and point to refinements that can lead to even greater benefits
%K ambulatory care information systems
%K community medicine
%K emergency medicine
%K health-care surveys
%K interprofessional relations
%K medical record linkage
%K programme evaluation
%K workflow
%U https://hijournal.bcs.org/index.php/jhi/article/view/14