Team Climate and Clinical Information Systems

  • Joanne L. Callen
  • Jeffrey Braithwaite
  • Johanna I. Westbrook
Chapter
Part of the Organizational Behaviour in Health Care book series (OBHC)

Abstract

West and Wallace (1991) have argued that group or team processes can hinder or facilitate innovations. The climate that the team operates in is an important factor in determining the success of innovations but there are few empirical studies of innovation which have measured climate in health care teams (Williams and Laungani, 1999; Borrill et al., 2000). This chapter presents the results of a study which measured the perceptions of four groups of doctors and nurses about their team climate and related this to their attitudes to, and satisfaction with a single innovation, namely a hospital-wide mandatory computerized provider order entry (CPOE) system.

Keywords

Health Care Team Computerize Physician Order Entry Clinical Information System Team Climate Computerize Provider Order Entry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ahmad, A., Teater, P., Bentley, T.D., Kuehn, L., Kumar, R.R., Thomas, A. and Mekhjian, I.S. (2002) ‘Key attributes of a successful physician order entry system implementation in a multi-hospital environment’, Journal of the American Medical Informatics Association, 9, 16–24.CrossRefGoogle Scholar
  2. Anderson, J.G. and Aydin, C.E. (1994) ‘Theoretical perspectives and methodologies for the evaluation of health care information systems’, in Anderson, J.G., Aydin, C.E. and Jay, S.J. (eds), Evaluating Health Care Information Systems: Methods and Applications. London: Sage, 5–29.Google Scholar
  3. Anderson, N. and West, M. (1999) Team Climate Inventory. User’s Guide. Berkshire, UK: NFER-Nelson.Google Scholar
  4. Ash, J.S., Gorman, P.N., Lavelle, M., Lyman, J., Fournier, L., Carpenter, J. and Stavri, P.Z. (2001) ‘Physician order entry: Results of a cross-site study’, presentation at the IT in Health Care Sociotechnical Approaches 1st International Conference, Rotterdam, September, 6–7.Google Scholar
  5. Ash, J.S., Gorman, P.N., Lavelle, M., Stavri, P.Z., Lyman, J., Fournier, L. and Carpenter, J. (2003a) ‘Perceptions of physician order entry: Results of a cross-site qualitative study’, Methods of Information in Medicine, 42, 313–23.Google Scholar
  6. Ash, J.S., Stavri, P.Z., Dykstra, R. and Fournier, L. (2003b) ‘Implementing computerized physician order entry: The importance of special people’, International Journal of Medical Informatics, 69, 235–50.CrossRefGoogle Scholar
  7. Bates, D.W., Kuperman, G.J., Wang, S., Gandhi, T., Kittler, A., Volk, L., Spurr, C., Khorasani, R., Tanasijevic, M. and Middleton, B. (2003) ‘Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality’, Journal of the American Medical Informatics Association, 10, 523–30.CrossRefGoogle Scholar
  8. Borrill, C., West, M., Shapiro, D. and Rees, A. (2000) ‘Team working and effectiveness in health care’, Bristish Journal of Health Care Management, 6, 364–71.CrossRefGoogle Scholar
  9. Braithwaite, J. and Westbrook, M. (2005) ‘Rethinking clinical organisational structures: An attitude survey of doctors, nurses and allied health staff in clinical directorates’, Journal of Health Service Research & Policy, 10, 10–17.CrossRefGoogle Scholar
  10. Callen, J.L., Braithwaite, J. and Westbrook, J.I. (2007) ‘Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems’, Social Science & Medicine, 65, 635–9.CrossRefGoogle Scholar
  11. Callen, J.L., Braithwaite, J. and Westbrook, J.I. (2008) ‘Contextual implementation model: A framework for assisting clinical information system implementations’, Journal of the American Medical Informatics Association, 15 (2), 255–62.CrossRefGoogle Scholar
  12. Callen, J.L., Westbrook, J.I. and Braithwaite, J. (2006) ‘The effect of physicians’ long-term use of CPOE on their test management work practices’, Journal of the American Medical Informatics Association, 13 (6), 643–52.CrossRefGoogle Scholar
  13. Chisholm, C.D., Edgar, K., Collision, B.A., Nelson, D.R. and Cordell, W.H. (2000) ‘Emergency department workplace interruptions: Are emergency physicians interrupt-driven and multitasking’? Academic Emergency Medicine, 7, 1239–43.CrossRefGoogle Scholar
  14. Coiera, E., Jayasuriya, R.A., Hardy, J., Bannan, A. and Thorpe, M.E.C. (2002) ‘Communication loads on clinical staff in the emergency department’, Medical Journal of Australia, 176, 415–18.Google Scholar
  15. Doolan, D.F., Bates, D.W. and James, B.C. (2003) ‘The use of computers for clinical care: a case series of advanced US sites’, Journal of the American Medical Informatics Association, 10, 94–107.CrossRefGoogle Scholar
  16. Gerowitz, M.B., Lemieux-Charles, L., Heginbothan, C. and Johnson, B. (1996) ‘Top management culture and performance in Canadian, UK and US hospitals’, Health Services Management Research, 9, 69–78.Google Scholar
  17. Gosling, A.S., Westbrook, J.I. and Braithwaite, J. (2003) ‘Clinical team functioning and IT innovation: A study of the diffusion of a point- of care online evidence system’, Journal of the American Medical Informatics Association, 10, 244–51.CrossRefGoogle Scholar
  18. Hasman, A., Safran, C. and Takeda, H. (2003) ‘Quality of health care: Informatics foundations’, Methods of Information in Medicine, 42, 509–18.Google Scholar
  19. Hawkins, H.H., Hankins, R.W. and Johnson, E. (1999) ‘A computerized physician order entry system for the promotion of ordering compliance and appropriate test utilization’, Journal of Health care Information Management, 13, 63–72.Google Scholar
  20. Hearn, J. and Higginson, I.J. (1998) ‘Do specialist palliative care teams improve outcomes for cancer patients? A systematic literature review’, Palliative Medicine, 12, 317–32.CrossRefGoogle Scholar
  21. Kuperman, G.J. and Gibson, R. (2003) ‘Computer physician order entry: Benefits, costs, and issues’, Annals of Internal Medicine, 139, 31–9.CrossRefGoogle Scholar
  22. Lee, F., Teich, J.M., Spurr, C.D. and Bates, D.W. (1996) ‘Implementation of physician order entry: User satisfaction and self-reported usage patterns’, Journal of the American Medical Informatics Association, 3, 42–55.CrossRefGoogle Scholar
  23. Massaro, T.A. (1993) ‘Introducing physician order entry at a major academic medical center: Impact on organizational culture and behavior’, Academic Medicine, 68, 20–5.CrossRefGoogle Scholar
  24. Mekhjian, H., Kuman, R.M., Kuehn, L., Bentley, T., Teater, P., Thomas, A., Payne, B., and Ahmad, A. (2002) ‘Immediate benefits realized following implementation of physician order entry at an academic medical center’, Journal of the American Medical Informatics Association, 9, 529–39.CrossRefGoogle Scholar
  25. Meterki, M., Mohr, D.C. and Young, G.J. (2004) ‘Teamwork, culture and patient satisfaction in hospital’, Medical Care, 42, 492–8.CrossRefGoogle Scholar
  26. Murff, H.J. and Kannry, J. (2001) ‘Physician satisfaction with two order entry systems’, Journal of the American Medical Informatics Association, 8, 499–509.CrossRefGoogle Scholar
  27. Nagi, S.Z. (1975) ‘Teamwork in health care in the US: A sociological perspective’, Health and Society, Winter, 75–91.Google Scholar
  28. Ouwens, M., Hulscher, M., Akkermans, R., Hermens, R., Grol, R. and Wollersheim, H. (2008) ‘The Team Climate Inventory: Application in hospital teams and methodological considerations’, Quality and Safety in Health Care, 17, 275–85.CrossRefGoogle Scholar
  29. Risser, D.T., Rice, M.M., Salisbury, M.L., Simon, R., Jay, G. and Berns, S. (1999) ‘The potential for improved teamwork to reduce medical errors in the emergency department’, Annals of Emergency Medicine, 34, 373–83.CrossRefGoogle Scholar
  30. Soar, J. Ayres, D. and Van der Weegen, L. (1993) ‘Achieving change and altering behaviour through direct doctor use of a hospital information system for order communications’, Australian Health Review, 16, 371–82.Google Scholar
  31. Sommers, L.S., Marton, K., Barbaccia, J.C. and Randolph, J. (2000) ‘Physician, nurse, and social worker collaboration in primary care’, Archives of Internal Medicine, 160, 1825–33.CrossRefGoogle Scholar
  32. Spencer, R. and Logan, P. (2002) ‘Role-based communication patterns within an emergency department setting’, in Ribbons RM., Dall V. and Webb R. (eds), Handbook of Abstracts. Tenth National Health Informatics Conference. Health Informatics Association of Australia, 53–4.Google Scholar
  33. SPSS Version 11.5 for Windows. SPSS Inc. Chicago, USA. http://www.spss.com.
  34. Tierney, W.M., Overhage, J.M., McDonald, C.J. and Wolinsky, F.D. (1994) ‘Medical students’ and housestaff’s opinions of computerized order-writing’, Academic Medicine, 69, 386–9.CrossRefGoogle Scholar
  35. Ummenhofer, W., Amsler F., Stutter, P.M., Martina, B., Martin, J. and Scheidegger, D. (2001) ‘Team performance in the emergency room: Assessment of inter-disciplinary attitudes’, Resuscitation, 49, 39–46.CrossRefGoogle Scholar
  36. West, M.A. and Wallace, M. (1991) ‘Innovation in health care teams’, European Journal of Social Psychology, 21, 303–15.CrossRefGoogle Scholar
  37. Williams, G. and Laungani, P. (1999) ‘Analysis of teamwork in an NHS community trust: An empirical study’, Journal of Interprofessional Care, 13, 19–28.CrossRefGoogle Scholar

Copyright information

© Joanne L. Callen, Jeffrey Braithwaite and Johanna I. Westbrook 2010

Authors and Affiliations

  • Joanne L. Callen
  • Jeffrey Braithwaite
  • Johanna I. Westbrook

There are no affiliations available

Personalised recommendations