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Junior Doctor Communication Systems and
the Deterioration Communication
Management Theory
Janet LIANG a,1
, Jim WARREN a
, Martin ORR b
and Karen DAY a
a
The University of Auckland Private Bag 92019, Auckland 1142, New Zealand
b
AUT University Private Bag 92006, Auckland 1142, New Zealand
Abstract. Inadequate communication is a factor in suboptimal junior doctor
management of deteriorating ward patients. Junior doctors’ information and
communication technology (ICT) systems are not the sole cause or cure for this.
However, junior doctors are already dissatisfied with existing technologies for
general hospital communication. The Deterioration Communication Management
Theory (DCMT) provides a means to approach these issues by uniting two themes:
1) factors affecting the properties of ICT used to communicate to junior doctors; and
2) factors affecting junior doctor interpretation of communication about
deteriorating hospital patients. ICT factors include how the combination of physical
devices and mode of usage affect user perception of system reliability and efficiency.
Junior doctors interpret clinician communication about patient deterioration in terms
of risk, which is affected by their contextual responsibility and experience.
Perceived risk and contextual experience in turn affects their communication
efficiency. Combining these themes gives more options to explain junior doctor
communication in this clinical context and to design ICT systems to improve it.
Keywords. Clinical deterioration; Smartphone; Text messaging, Patient safety,
Hospital communication systems
Learning objectives
After reading the chapter, the reader should be able to:
1. Understand the drivers for improvement of hospital junior doctor
communication systems, both in general use and in the context of the
deteriorating ward patient.
2. Critique the present status of hospital organizational level interventions to
improve clinician communication about deteriorating ward patients.
3. Compare different theories used for hospital communication systems and
especially those suitable for group communication.
4. Interpret how communication systems can be applied within a hospital setting,
and contribute to the design of new systems.
1
Corresponding Author: Janet Liang, E-mail: jlia002@aucklanduni.ac.nz
Applied Interdisciplinary Theory in Health Informatics
P. Scott et al. (Eds.)
© 2019 The authors and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).
doi:10.3233/SHTI190117
122
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Buch Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners"
Applied Interdisciplinary Theory in Health Informatics
Knowledge Base for Practitioners
- Titel
- Applied Interdisciplinary Theory in Health Informatics
- Untertitel
- Knowledge Base for Practitioners
- Autoren
- Philip Scott
- Nicolette de Keizer
- Andrew Georgiou
- Verlag
- IOS Press BV
- Ort
- Amsterdam
- Datum
- 2019
- Sprache
- englisch
- Lizenz
- CC BY-NC 4.0
- ISBN
- 978-1-61499-991-1
- Abmessungen
- 16.0 x 24.0 cm
- Seiten
- 242
- Kategorie
- Informatik