Discuss now, document later

CIS/CPOE perceived to be a 'shift behind' in the ICU

Sarah Collins*, Suzanne Bakken, David Vawdrey, Enrico Coiera, Leanne M. Currie

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

7 Citations (Scopus)


Effective communication is essential to safe and efficient patient care. We aimed to understand the current patterns and perceptions of communication of common goals in the ICU using the distributed cognition and clinical communication space theoretical frameworks. We conducted a focus group and 5 interviews with ICU clinicians and observed 59.5 hours of interdisciplinary ICU morning rounds. Clinicians used a CIS/CPOE system and paper artifacts for documentation; yet, preferred verbal communication as a method of information exchange because they perceived that the documentation was often not updated or efficient for information retrieval. These perceptions that the CIS/CPOE is a "shift behind" may lead to a further reliance on verbal information exchange, which is a valuable clinical communication activity, yet, is subject to information loss. Electronic documentation tools that, in real time, capture information that is currently verbally communicated may increase the effectiveness of communication.

Original languageEnglish
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
EditorsC. Safran, S. Reti, H.F. Marin
Place of PublicationAmsterdam
PublisherIOS Press
Number of pages5
EditionPART 1
ISBN (Print)9781607505877
Publication statusPublished - 2010
Externally publishedYes
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: 12 Sep 201015 Sep 2010


Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town

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