Browsing by Author "Schilling, Katherine"

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    Errors and adverse consequences as a result of information technology use in healthcare : an integrated review of the literature
    (2013-12-10) Kiess, Christopher; Jones, Josette F.; Saleem, Jason; Schilling, Katherine
    Health Information Technology (HIT) has become an integral component of healthcare today. The HITECH Act (2009) and Meaningful Use objectives stand to bring wide-sweeping adoption and implementations of HIT in small, medium and large sized healthcare organizations across the country. Though recent literature has provided evidence for the benefits of HIT in the profession, there have also been a growing number of reports exploring the adverse effects of HIT. There has not, however, yet been a systematic account of the adverse effects of HIT in the healthcare system. The current push for HIT coupled with a lack of critical appraisal of the potential risks of implementation and deployment within the medical literature has led to a general unquestioning and unregulated acceptance of the implementation of technology in medicine and healthcare as a positive addition with little or no risk. While the benefits of HIT are clear, a review of the existing studies in the literature would provide a holistic vision of the adverse effects of HIT as well as the types and impact within the nation’s health care system to inform future HIT development and implementation. The development of a general understanding of these adverse effects can serve as a review and summary for the use of informatics professionals and clinicians implementing HIT as well as providing future direction for the industry in HIT implementations. Additionally, this study has value for moving forward in informatics to develop frameworks for implementation and guidelines and standards for development and regulation of HIT at a federal level. This study involves the use of an integrative literature review to identify and classify the adverse effects of HIT as reported in the literature. The purpose of this study is to perform an integrative review of the literature to 1) identify and classify the adverse effects of HIT; 2) determine the impact and prevalence of these effects; 3) identify the recommended actions and best practices to address the negative effects of HIT. This study analyzed 18 articles for HIT-induced error and adverse consequences. In the process, 228 errors and/or adverse consequences were identified, classified and represented in an operational taxonomic schema. The taxonomic representation consisted of 8 master categories and 30 subcategories. Additionally, the prevalence and impact of these errors were evaluated as well as recommendations and best practices in future systems design. This study builds on previous work in the medical literature pertaining to HIT-induced errors and adverse consequences and offers a unique perspective in analyzing existing studies in the literature using the integrative review model of research. It is the first work in combining studies across healthcare technologies and analyzing the adverse consequences across 18 studies to form a cohesive classification of these events in healthcare technology.
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    The Exchange of Social Support via Social Networks of Maternal Caregivers for Children with Autism Spectrum Disorders
    (2011-08-19) Coates, Heather L.; Jones, Josette; Kharazzi, Hadi; Schilling, Katherine
    The role of social support in the lives of the 16.8 million caregivers for children with special needs in the U.S. is not adequately understood. Many studies have explored seeking health information online, but failed to consider information exchanged through social networks (i.e., family, friends, colleagues, neighbors, etc.). Caregivers of children with special needs spend on average 30 hours per week providing such care. The burden of caregiving can negatively affect caregivers physically, mentally and emotionally, socially, and financially. Social support is one potential mediator for the effects of caregiver burden. The objective of this study was to explore the flow of four dimensions of social support within the social networks of maternal caregivers for children diagnosed with an autism spectrum disorder (ASD). A convenience sample was gathered via electronic distribution lists for Indiana parents of children with special needs. Participants could elect to complete a face-to-face interview or an anonymous online survey. The typical participant was Caucasian, married, college-educated, and located in Central Indiana. Respondent social networks are composed of multiplex relations, indicating strong ties. Significant correlations were found for participant age, child age, and the age of diagnosis, and network members for various networks. Specifically, a later age of child diagnosis is associated with fewer network members for the caregiver. Correlational analyses between dimensions of social support and network characteristics suggest options for further study. Overall, the results of this exploratory study are inconclusive, but can provide direction for future research.
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    Patient-Centered Decision Support for Pediatric Asthma Screening: A Web-based Interface for Parents
    Zolnoori, Maryam; Schilling, Katherine; Jones, Josette
    Asthma in children is a global health crisis. Differential diagnosis of asthma is a complex process. Significant disconnects exist between disease prevalence vs. diagnoses. Families ignore or misunderstand asthma signs and symptoms. Families experience barriers to screening and diagnosis: health literacy, costs, travel and time, limited access to expert care, etc. Under-diagnosis results in significant individual and societal burdens. Early diagnosis leads to more effective disease management.
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    U.S. Hospitals' Web-Based Patient Engagement Activities
    Jones, Josette; Zolnoori, Maryam; Binkheder, Samar; Schilling, Katherine; Lenox, Michelle; Pondugala, Lakshmi Ravali
    The purpose of this poster is to describe how U.S. Hospitals use their websites to meet the National e-Health Collaborative (NeHC) patient engagement criteria and to explore trends, challenges, opportunities for hospitals when it comes to leveraging websites for patient engagement.