BibTex format
@article{Lazzarino:2024:10.2196/56949,
author = {Lazzarino, R and Borek, AJ and Honeyford, K and Welch, J and Brent, AJ and Kinderlerer, A and Cooke, G and Patil, S and Gordon, A and Glampson, B and Goodman, P and Ghazal, P and Daniels, R and Costelloe, CE and Tonkin-Crine, S},
doi = {10.2196/56949},
journal = {JMIR Hum Factors},
title = {Views and Uses of Sepsis Digital Alerts in National Health Service Trusts in England: Qualitative Study With Health Care Professionals.},
url = {http://dx.doi.org/10.2196/56949},
volume = {11},
year = {2024}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BACKGROUND: Sepsis is a common cause of serious illness and death. Sepsis management remains challenging and suboptimal. To support rapid sepsis diagnosis and treatment, screening tools have been embedded into hospital digital systems to appear as digital alerts. The implementation of digital alerts to improve the management of sepsis and deterioration is a complex intervention that has to fit with team workflow and the views and practices of hospital staff. Despite the importance of human decision-making and behavior in optimal implementation, there are limited qualitative studies that explore the views and experiences of health care professionals regarding digital alerts as sepsis or deterioration computerized clinician decision support systems (CCDSSs). OBJECTIVE: This study aims to explore the views and experiences of health care professionals on the use of sepsis or deterioration CCDSSs and to identify barriers and facilitators to their implementation and use in National Health Service (NHS) hospitals. METHODS: We conducted a qualitative, multisite study with unstructured observations and semistructured interviews with health care professionals from emergency departments, outreach teams, and intensive or acute units in 3 NHS hospital trusts in England. Data from both interviews and observations were analyzed together inductively using thematic analysis. RESULTS: A total of 22 health care professionals were interviewed, and 12 observation sessions were undertaken. A total of four themes regarding digital alerts were identified: (1) support decision-making as nested in electronic health records, but never substitute professionals' knowledge and experience; (2) remind to take action according to the context, such as the hospital unit and the job role; (3) improve the alerts and their introduction, by making them more accessible, easy to use, not intrusive, more accurate, as well as integrated across the whole health care system; and (4) contextual factors affectin
AU - Lazzarino,R
AU - Borek,AJ
AU - Honeyford,K
AU - Welch,J
AU - Brent,AJ
AU - Kinderlerer,A
AU - Cooke,G
AU - Patil,S
AU - Gordon,A
AU - Glampson,B
AU - Goodman,P
AU - Ghazal,P
AU - Daniels,R
AU - Costelloe,CE
AU - Tonkin-Crine,S
DO - 10.2196/56949
PY - 2024///
TI - Views and Uses of Sepsis Digital Alerts in National Health Service Trusts in England: Qualitative Study With Health Care Professionals.
T2 - JMIR Hum Factors
UR - http://dx.doi.org/10.2196/56949
UR - https://www.ncbi.nlm.nih.gov/pubmed/39405513
VL - 11
ER -