Journal Article

The effects of hands-free communication device systems: communication changes in hospital organizations

Joshua E Richardson and Joan S Ash

in Journal of the American Medical Informatics Association

Published on behalf of American Medical Informatics Association

Volume 17, issue 1, pages 91-98
Published in print January 2010 | ISSN: 1067-5027
Published online January 2010 | e-ISSN: 1527-974X | DOI: https://dx.doi.org/10.1197/jamia.M3307
The effects of hands-free communication device systems: communication changes in hospital organizations

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  • Medical Statistics and Methodology
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  • Biomathematics and Statistics

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Abstract

Objective To analyze the effects that hands-free communication device (HCD) systems have on healthcare organizations from multiple user perspectives.

Design This exploratory qualitative study recruited 26 subjects from multiple departments in two research sites located in Portland, Oregon: an academic medical center and a community hospital. Interview and observation data were gathered January through March, 2007.

Measurements Data were analyzed using a grounded theory approach. Because this study was exploratory, data were coded and patterns identified until overall themes ‘emerged’.

Results Five themes arose: (1) Communication access—the perception that HCD systems provide fast and efficient communication that supports workflow; (2) Control—social and technical considerations associated with use of an HCD system; (3) Training—processes that should be used to improve use of the HCD system; (4) Organizational change—changes to organizational design and behavior caused by HCD system implementation; and (5) Environment and infrastructure—HCD system use within the context of physical workspaces.

Conclusion HCD systems improve communication access but users experience challenges integrating the system into workflow. Effective HCD use depends on how well organizations train users, adapt to changes brought about by HCD systems, and integrate HCD systems into physical surroundings.

Journal Article.  6287 words.  Illustrated.

Subjects: Medical Statistics and Methodology ; Bioinformatics and Computational Biology ; Biomathematics and Statistics

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