Electronic Emergency-Department Whiteboards

A Study of Clinicians’ Expectations and Experiences

Morten Hertzum

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    Purpose. Many emergency departments (EDs) are in a process of transitioning from dry-erase to electronic whiteboards. This study investigates differences in ED clinicians’ perception and assessment of their electronic whiteboards across departments and staff groups and at two points in time.
    Method. We conducted a survey consisting of a questionnaire administered when electronic whiteboards were introduced and another questionnaire administered when they had been in use for 8-9 months. The survey involved two EDs and, for reasons of comparison, a paediatric department.
    Results. The ED respondents consider the whiteboard information important to their overview, and they approve of the introduction of electronic whiteboards. With the electronic whiteboards, the ED respondents experience a better overall overview of their work than with dry-erase whiteboards. They also experience that whiteboard information has to a larger extent become available where and when they need it. Conversely, the ED respondents’ expectations toward the electronic whiteboards have not been fulfilled when it comes to keeping information current and obtaining improvements for the patients. The ED staff groups of physicians, nurses, and secretaries experience the electronic whiteboards differently. The physicians, for example, consider it faster and simpler than the nurses to find information on the electronic whiteboards. After extended use, multiple questionnaire items about achieved performance and required effort contribute to explaining the variation in the nurses’ overall assessment of the whiteboards; for physicians and secretaries few items contribute to explaining the variation in their overall assessment. The respondents from the paediatric department perceive their whiteboards as less important to their overview and collaboration than the ED respondents.
    Conclusion. The ED clinicians experience positive effects of electronic over dry-erase whiteboards. However, their assessment of electronic whiteboards depends on their staff group, evolves over time, and differs from that of paediatric clinicians. These results likely affect clinicians’ acceptance of electronic whiteboards and their command of their work.
    OriginalsprogEngelsk
    TidsskriftInternational Journal of Medical Informatics
    Vol/bind80
    Udgave nummer9
    Sider (fra-til)618-630
    Antal sider13
    ISSN1386-5056
    DOI
    StatusUdgivet - 2011

    Emneord

    • Electronic whiteboard
    • status board
    • emergency department
    • Before/after survey
    • technology adoption

    Citer dette

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    abstract = "Purpose. Many emergency departments (EDs) are in a process of transitioning from dry-erase to electronic whiteboards. This study investigates differences in ED clinicians’ perception and assessment of their electronic whiteboards across departments and staff groups and at two points in time. Method. We conducted a survey consisting of a questionnaire administered when electronic whiteboards were introduced and another questionnaire administered when they had been in use for 8-9 months. The survey involved two EDs and, for reasons of comparison, a paediatric department. Results. The ED respondents consider the whiteboard information important to their overview, and they approve of the introduction of electronic whiteboards. With the electronic whiteboards, the ED respondents experience a better overall overview of their work than with dry-erase whiteboards. They also experience that whiteboard information has to a larger extent become available where and when they need it. Conversely, the ED respondents’ expectations toward the electronic whiteboards have not been fulfilled when it comes to keeping information current and obtaining improvements for the patients. The ED staff groups of physicians, nurses, and secretaries experience the electronic whiteboards differently. The physicians, for example, consider it faster and simpler than the nurses to find information on the electronic whiteboards. After extended use, multiple questionnaire items about achieved performance and required effort contribute to explaining the variation in the nurses’ overall assessment of the whiteboards; for physicians and secretaries few items contribute to explaining the variation in their overall assessment. The respondents from the paediatric department perceive their whiteboards as less important to their overview and collaboration than the ED respondents. Conclusion. The ED clinicians experience positive effects of electronic over dry-erase whiteboards. However, their assessment of electronic whiteboards depends on their staff group, evolves over time, and differs from that of paediatric clinicians. These results likely affect clinicians’ acceptance of electronic whiteboards and their command of their work.",
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    Electronic Emergency-Department Whiteboards : A Study of Clinicians’ Expectations and Experiences. / Hertzum, Morten.

    I: International Journal of Medical Informatics, Bind 80, Nr. 9, 2011, s. 618-630.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Electronic Emergency-Department Whiteboards

    T2 - A Study of Clinicians’ Expectations and Experiences

    AU - Hertzum, Morten

    PY - 2011

    Y1 - 2011

    N2 - Purpose. Many emergency departments (EDs) are in a process of transitioning from dry-erase to electronic whiteboards. This study investigates differences in ED clinicians’ perception and assessment of their electronic whiteboards across departments and staff groups and at two points in time. Method. We conducted a survey consisting of a questionnaire administered when electronic whiteboards were introduced and another questionnaire administered when they had been in use for 8-9 months. The survey involved two EDs and, for reasons of comparison, a paediatric department. Results. The ED respondents consider the whiteboard information important to their overview, and they approve of the introduction of electronic whiteboards. With the electronic whiteboards, the ED respondents experience a better overall overview of their work than with dry-erase whiteboards. They also experience that whiteboard information has to a larger extent become available where and when they need it. Conversely, the ED respondents’ expectations toward the electronic whiteboards have not been fulfilled when it comes to keeping information current and obtaining improvements for the patients. The ED staff groups of physicians, nurses, and secretaries experience the electronic whiteboards differently. The physicians, for example, consider it faster and simpler than the nurses to find information on the electronic whiteboards. After extended use, multiple questionnaire items about achieved performance and required effort contribute to explaining the variation in the nurses’ overall assessment of the whiteboards; for physicians and secretaries few items contribute to explaining the variation in their overall assessment. The respondents from the paediatric department perceive their whiteboards as less important to their overview and collaboration than the ED respondents. Conclusion. The ED clinicians experience positive effects of electronic over dry-erase whiteboards. However, their assessment of electronic whiteboards depends on their staff group, evolves over time, and differs from that of paediatric clinicians. These results likely affect clinicians’ acceptance of electronic whiteboards and their command of their work.

    AB - Purpose. Many emergency departments (EDs) are in a process of transitioning from dry-erase to electronic whiteboards. This study investigates differences in ED clinicians’ perception and assessment of their electronic whiteboards across departments and staff groups and at two points in time. Method. We conducted a survey consisting of a questionnaire administered when electronic whiteboards were introduced and another questionnaire administered when they had been in use for 8-9 months. The survey involved two EDs and, for reasons of comparison, a paediatric department. Results. The ED respondents consider the whiteboard information important to their overview, and they approve of the introduction of electronic whiteboards. With the electronic whiteboards, the ED respondents experience a better overall overview of their work than with dry-erase whiteboards. They also experience that whiteboard information has to a larger extent become available where and when they need it. Conversely, the ED respondents’ expectations toward the electronic whiteboards have not been fulfilled when it comes to keeping information current and obtaining improvements for the patients. The ED staff groups of physicians, nurses, and secretaries experience the electronic whiteboards differently. The physicians, for example, consider it faster and simpler than the nurses to find information on the electronic whiteboards. After extended use, multiple questionnaire items about achieved performance and required effort contribute to explaining the variation in the nurses’ overall assessment of the whiteboards; for physicians and secretaries few items contribute to explaining the variation in their overall assessment. The respondents from the paediatric department perceive their whiteboards as less important to their overview and collaboration than the ED respondents. Conclusion. The ED clinicians experience positive effects of electronic over dry-erase whiteboards. However, their assessment of electronic whiteboards depends on their staff group, evolves over time, and differs from that of paediatric clinicians. These results likely affect clinicians’ acceptance of electronic whiteboards and their command of their work.

    KW - Electronic whiteboard

    KW - status board

    KW - emergency department

    KW - Before/after survey

    KW - technology adoption

    U2 - 10.1016/j.ijmedinf.2011.06.004

    DO - 10.1016/j.ijmedinf.2011.06.004

    M3 - Journal article

    VL - 80

    SP - 618

    EP - 630

    JO - International Journal of Medical Informatics

    JF - International Journal of Medical Informatics

    SN - 1386-5056

    IS - 9

    ER -