An exploratory study of networks constructed using access data from an electronic health record

Journal of Interprofessional Care
Nengliang YaoShin-Ping Tu

Abstract

Network analysis may be a powerful tool for studying interprofessional practice. Using electronic health record data and social network analysis, the network of healthcare professionals involved in colorectal cancer care at a large, urban academic medical center were mapped and studied. A total of 100 surgical colorectal cancer patients receiving treatment in 2013 and 2014 were selected at random. We used detailed access logs for the EHR to map the network of all healthcare professionals for each patient, including inpatient and outpatient settings. Approximately 2.45 million records of access logs from more than 6,800 unique users, representing over 150 roles or occupations were analyzed. Across all networks, professionals were connected to an average of 5.8 other professionals, but some were rarely connected with others while over 20 were very highly connected (> 100 other professionals). Housestaff, attending physicians, and nurses played central roles in the global network with a high number of inter- and intra-professional connections. Clusters of professionals with frequent interaction were demonstrated but, based on the size and complexity of the network, serendipitous interactions were unlikely. Settings for care seemed...Continue Reading

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Citations

Nov 22, 2019·Journal of the American Medical Informatics Association : JAMIA·Adam RuleMichelle R Hribar
Apr 15, 2020·International Journal of Environmental Research and Public Health·Shakir KarimMohammad Ali Moni

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