Language
English
Publication Date
12-1-2023
Journal
Journal of Hospital Medicine
DOI
10.1002/jhm.13221
PMID
37846028
PMCID
PMC13051338
PubMedCentral® Posted Date
4-7-2026
PubMedCentral® Full Text Version
Author MSS
Abstract
Introduction: Although the transfer of patients between acute care hospitals (interhospital transfer, IHT) is common, health information exchange (HIE) during IHT remains inadequate, with fragmented communication and unreliable access to clinical information. This study aims to design, implement, and rigorously evaluate the implementation of a HIE platform to improve data access during IHT.
Methods and analysis: Study subjects include patients aged >18 transferred to the medical, cardiology, oncology, or intensive care unit (ICU) services at an 800-bed quaternary care hospital; and healthcare workers involved in their care. The first aim of this study is to optimize clinician workflow, data visualization, and interoperability through user-centered design sessions for HIE platform development. The second aim is to evaluate the impact of the intervention on clinician-reported medical errors among 500 pre- and 500 postintervention IHT patients using interrupted time series methodology, adjusting for confounding variables and temporal trends. The third aim is to evaluate intervention fidelity, use and perceived usability of the platform, and barriers and facilitators of implementation from interprofessional stakeholder input, using mixed-methods evaluation. The fourth aim is to consolidate key findings to create a toolkit for spread and sustainability.
Ethics and dissemination: We will track patient safety endpoints and clinician workflow burdens and ensure the protection of patient data throughout the study. We will disseminate our findings via the creation of a toolkit for spread and sustainability, partnering with our funder (AHRQ) for dissemination, and communicating our results via abstracts and publications.
Keywords
Humans, Patient Transfer, Interrupted Time Series Analysis, Communication, Health Information Exchange
Published Open-Access
yes
Recommended Citation
Mueller, Stephanie K; Garabedian, Pamela; Goralnick, Eric; et al., "Advancing Health Information During Interhospital Transfer: An Interrupted Time Series" (2023). Faculty, Staff and Students Publications. 8459.
https://digitalcommons.library.tmc.edu/baylor_docs/8459