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Cognitive Disconnect and Information Overload: Electronic Health Record Use for Rounding and Handover Communications in a Pediatric Intensive Care Unit

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Cognitive Informatics

Part of the book series: Health Informatics ((HI))

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Abstract

Bedside working rounds can be one of the most cognitively complex situations in clinical medicine. Team members develop a mental model of the patient synthesizing electronic health record (EHR) information and information that is verbally transmitted during shift-to-shift communication. Each provider must synthesize and filter a large amount of information, which can be error prone. Rounds are also prone to interruptions. Despite interruptions, because the EHR allows for each individual provider to interact with the patient chart and there is an expectation that each team member fulfills a different role for the same patient, the team should develop a shared mental model to enable optimal workflow and provide optimal care. In this case study describing the bedside working rounds in a pediatric intensive care unit (PICU), we will explore each of these issues in depth.

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Authors and Affiliations

  1. Columbia University, New York, NY, USA

    R. Stanley Hum

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  1. R. Stanley Hum
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Correspondence to R. Stanley Hum .

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Editors and Affiliations

  1. Department of Informatics, University of California, Irvine, Irvine, CA, USA

    Kai Zheng

  2. Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW, Australia

    Johanna Westbrook

  3. Department of Anesthesiology and Institute for Informatics, School of Medicine, Washington University in St Louis, St Louis, MO, USA

    Thomas G. Kannampallil

  4. Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, NY, USA

    Vimla L. Patel

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Hum, R.S. (2019). Cognitive Disconnect and Information Overload: Electronic Health Record Use for Rounding and Handover Communications in a Pediatric Intensive Care Unit. In: Zheng, K., Westbrook, J., Kannampallil, T., Patel, V. (eds) Cognitive Informatics. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-16916-9_18

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  • DOI: https://doi.org/10.1007/978-3-030-16916-9_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16915-2

  • Online ISBN: 978-3-030-16916-9

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