TY - JOUR
T1 - Variation in health care providers' perceptions
T2 - Decision making based on patient vital signs
AU - Zarabzadeh, Atieh
AU - O'Donoghue, John
AU - O'Connor, Yvonne
AU - O'Kane, Tom
AU - Woodworth, Simon
AU - Gallagher, Joe
AU - O'Connor, Siobhán
PY - 2013
Y1 - 2013
N2 - Clinical decision making plays an imperative role when delivering healthcare services. To assist healthcare practitioners in decision making activities, Early Warning Scorecards (EWS) have been developed to classify patients based on their vital sign readings. This paper aims to evaluate the variation among healthcare practitioners' perceptions of vital signs critical ranges and priorities, and if there is a variation between decisions made based on paper-based Modified EWS (MEWS) and electronic MEWS. A survey is conducted to analyse these variations for six vital sign parameters. Further investigation is carried out on the variations in decisions made for six simulated patients using the paper-based MEWS and eMEWS. Thus, the variations of decisions made for a given patient among the survey participants are analysed in light of paper-based MEWS and eMEWS. Therefore, this paper contributes to both theory and practice by identifying variations in health care providers' perceptions when deciding the actions/treatment of patients.
AB - Clinical decision making plays an imperative role when delivering healthcare services. To assist healthcare practitioners in decision making activities, Early Warning Scorecards (EWS) have been developed to classify patients based on their vital sign readings. This paper aims to evaluate the variation among healthcare practitioners' perceptions of vital signs critical ranges and priorities, and if there is a variation between decisions made based on paper-based Modified EWS (MEWS) and electronic MEWS. A survey is conducted to analyse these variations for six vital sign parameters. Further investigation is carried out on the variations in decisions made for six simulated patients using the paper-based MEWS and eMEWS. Thus, the variations of decisions made for a given patient among the survey participants are analysed in light of paper-based MEWS and eMEWS. Therefore, this paper contributes to both theory and practice by identifying variations in health care providers' perceptions when deciding the actions/treatment of patients.
KW - Clinical decision support system (CDSS)
KW - Electronic Modified Early Warning Scorecard (eMEWS)
KW - Modified Early Warning Scorecard (MEWS)
KW - Perception
UR - http://www.scopus.com/inward/record.url?scp=84890178495&partnerID=8YFLogxK
U2 - 10.1080/12460125.2013.817063
DO - 10.1080/12460125.2013.817063
M3 - Article
AN - SCOPUS:84890178495
SN - 1246-0125
VL - 22
SP - 168
EP - 189
JO - Journal of Decision Systems
JF - Journal of Decision Systems
IS - 3
ER -