Implementation of a Digitally Enabled Care Pathway (Part 2): Qualitative Analysis of Experiences of Health Care Professionals

Journal of Medical Internet Research
Alistair ConnellRosalind Raine

Abstract

One reason for the introduction of digital technologies into health care has been to try to improve safety and patient outcomes by providing real-time access to patient data and enhancing communication among health care professionals. However, the adoption of such technologies into clinical pathways has been less examined, and the impacts on users and the broader health system are poorly understood. We sought to address this by studying the impacts of introducing a digitally enabled care pathway for patients with acute kidney injury (AKI) at a tertiary referral hospital in the United Kingdom. A dedicated clinical response team-comprising existing nephrology and patient-at-risk and resuscitation teams-received AKI alerts in real time via Streams, a mobile app. Here, we present a qualitative evaluation of the experiences of users and other health care professionals whose work was affected by the implementation of the care pathway. The aim of this study was to qualitatively evaluate the impact of mobile results viewing and automated alerting as part of a digitally enabled care pathway on the working practices of users and their interprofessional relationships. A total of 19 semistructured interviews were conducted with members of ...Continue Reading

References

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Sep 10, 2015·Nephron·Nicholas M SelbyUNKNOWN NHS England 'Think Kidneys' AKI Programme
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Aug 11, 2018·Canadian Journal of Kidney Health and Disease·Hamid MohamadlouRitankar Das
Aug 2, 2019·Journal of Medical Internet Research·Alistair ConnellChristopher Laing

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