Electronic Health Records to Coordinate Decision Making for Complex Patients: What Can We Learn from Wiki?

Aanand D. Naik and Hardeep Singh
Additional contact information
Aanand D. Naik: Health Decision-Making and Communication Program, Houston Health Services Research and Development Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, John M. Eisenberg Center for Clinical Decisions and Communications Sciences, Baylor College Medicine, Houston, TX, anaik@bcm.tmc.edu
Hardeep Singh: Health Policy and Quality Program, Houston Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, John M. Eisenberg Center for Clinical Decisions and Communications Sciences, Baylor College Medicine, Houston, TX

Medical Decision Making, 2010, vol. 30, issue 6, 722-731

Abstract: Background . Processes of communication that guide decision making among clinicians collaboratively caring for complex patients are poorly understood and vary based on local contexts. In this paper, the authors characterize these processes and propose a wiki-style communication model to improve coordination of decision making among clinicians using an integrated electronic health record (EHR). Methods . A narrative review of current patterns of communication among clinicians sharing medical decisions focusing on the emerging and potential roles of EHRs to enhance communication among clinicians caring for complex patients. Results . The authors present the taxonomy of decision making and communication among clinicians caring for complex patients. They then adapt wiki-style communication to propose a novel model of communication among clinicians for decision making within multidisciplinary disease management programs. Future innovations using wiki-style communication among clinicians are also described and placed in the context of medical decisions by clinicians working together in disease management programs. Conclusions . EHR-based wiki-style applications may have the potential to improve communication and care coordination among clinicians caring for complex patients. This could lead to improved quality and safety within multidisciplinary disease management programs.

Keywords: decision making; communication; electronic health records; disease management; reviews; quality and safety. (search for similar items in EconPapers)
Date: 2010
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://journals.sagepub.com/doi/10.1177/0272989X10385846 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:30:y:2010:i:6:p:722-731

DOI: 10.1177/0272989X10385846

Access Statistics for this article

More articles in Medical Decision Making
Bibliographic data for series maintained by SAGE Publications ().