Switching Electronic Health Record Systems: Effects on Rounds and Perceived Impact on Communication andWorkflow in a Paediatric Critical Care Unit
Bibliographic record
Abstract
The overall objective of this study was to explore the impact that switching electronic health record (EHR) systems has on daily bedside rounds in a paediatric critical care unit. Naturalistic observations were used to contextualize rounds and to characterize how EHRs are used during rounds. Semi-structured interviews occurred in two phases. In phase one, interviews were conducted with clinicians to elicit detailed perceptions of rounds, and to understand how EHRs were used during rounds. Six months after the implementation of a new EHR system, phase two interviews were conducted to understand perceptions on how the new EHR system had impacted communication and workflow during rounds. Thematic analysis was performed on the qualitative notes from observations and interviews to identify patterns based on the data collected. Results of thematic analysis indicate that switching EHRs has an impact on how clinicians prepare for rounds, access information during rounds and document patient care goals during rounds. The results from this study will inform the design of interventions to improve daily bedside rounds in future work.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.003 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".