This commentary reviews the content of the lead papers through the lens of primary healthcare renewal (PHCR). Although PHCR has been on the national agenda for decades, only since the turn of the century has real progress been made with emerging new practice models based on inter-professional team care. While much is expected, relatively little is known of the function and effectiveness of such...

Implementation of electronic health records (EHRs) impacts provider workflow at the point-of-care. Information access and data entry tasks have been appended to provider workload, adversely affecting clinical workflow as well as provider cognitive resources and job satisfaction. The quantity and complexity of information required for patient care and the documentation required for administrativ...

INTRODUCTION As part of a programme of research aiming to improve the outcomes of traumatically injured children, a multisource healthcare advocacy tool has been developed to allow trauma team members and hospital governance administrators to reflect and to act on complex trauma team-hospital systems interactions. We have termed this tool a Field Assessment Conditioning Tool (FACT). The FACT dr...

Focused ethnography is an applied and pragmatic form of ethnography that explores a specific social phenomenon as it occurs in everyday life. Based on the literature a problem-focused research question is formulated before the data collection. The data generation process targets key informants and situations so that relevant results on the pre-defined topic can be obtained within a relatively s...

Computerized physician order entry (CPOE) has had demonstrated benefits in error reduction and guideline adherence, but its implementation has often been complicated by disruptions in established workflow processes. We conducted an observational study of the healthcare team in an intensive care unit after the implementation of mandatory CPOE. We found that policies designed to increase flexibil...

OBJECTIVE To implement peer-led team learning in an online course on controversial issues surrounding medications and the US healthcare system. DESIGN The course was delivered completely online using a learning management system. Students participated in weekly small-group discussions in online forums, completed 3 reflective writing assignments, and collaborated on a peer-reviewed grant propo...

As a key department within a healthcare organisation, the operating room is a hazardous environment, where the consequences of errors are high, despite the relatively low rates of occurrence. Team performance in surgery is increasingly being considered crucial for a culture of safety. The aim of this study was to describe team communication and the ways it fostered or threatened safety culture ...

Most structured nursing documentation systems allow the entry of data in a free text narrative format. Narrative data, while sometimes necessary, cannot easily be analyzed or linked to the structured portion of the record. This study examined the characteristics of free text narrative documentation entered in an otherwise structured record utilized in a cardiovascular intensive care unit. The a...

91 HMORN 2014 – Selected Abstracts Health plan administrators and clinicians have pre-existing ideas of research that necessitate ongoing education and dialogue to address concerns. Using a framework of change native to the health system promotes navigation of potentially disruptive change. Given rapid changes within health systems, the research team must be aware of competing contextual factor...

Complex and chronic illnesses, such as cancer, demand the use of specialised treatment protocols, administered and monitored by a patient centric co-ordinated team of multidisciplinary healthcare professionals. Care of chronic illnesses (e.g. cancer patients) by a team of health care professionals at home is often necessary due to the protracted length of the illness, the differing medical cond...