Inter-organizational continuity of care and the electronic patient record: a concept development.

There is an expectation that the use of electronic patient records will contribute to continuity of care across organizations for the growing number of elderly and chronically ill people who need continuing nursing care after an episode of hospitalization. This article aims to explore the concept of inter-organizational continuity of care and to address the contribution, expectations and promises associated with the advent of the electronic patient record. A content analysis of the literature concerning concept development provided a model which indicates that inter-organizational continuity is a multidimensional concept, comprising individual and organizational perspectives with qualitative and quantitative properties.

[1]  M. Anderson,et al.  Talking about patients: communication and continuity of care. , 2000, The Journal of cardiovascular nursing.

[2]  Developing a module for nursing documentation integrated in the electronic patient record. , 2001 .

[3]  H. Hearnshaw,et al.  Left in limbo: patients' views on care across the primary/secondary interface. , 1999, Quality in health care : QHC.

[4]  L. Smith,et al.  Weaving the seamless web of care: an analysis of parents' perceptions of their needs following discharge of their child from hospital. , 2000, Journal of advanced nursing.

[5]  P. Mahon An analysis of the concept 'patient satisfaction' as it relates to contemporary nursing care. , 1996, Journal of advanced nursing.

[6]  J. Saultz Defining and Measuring Interpersonal Continuity of Care , 2003, The Annals of Family Medicine.

[7]  S. Armitage,et al.  The discharge liaison nurse at the interface of hospital and community nursing services , 1996 .

[8]  I Iakovidis,et al.  From electronic medical record to personal health records: present situation and trends in European Union in the area of electronic healthcare records. , 1998, Studies in health technology and informatics.

[9]  G. Keenan,et al.  Standardized nomenclatures: keys to continuity of care, nursing accountability and nursing effectiveness. , 1998, Outcomes management for nursing practice.

[10]  Mark Smith Rethinking State Theory , 2000 .

[11]  J. Morse,et al.  Criteria for concept evaluation. , 1996, Journal of advanced nursing.

[12]  S. Keeney,et al.  Discharge planning: an exploratory study. , 2000, Journal of clinical nursing.

[13]  D. Christakis Continuity of Care: Process or Outcome? , 2003, The Annals of Family Medicine.

[14]  J. Travelbee,et al.  Interpersonal Aspects of Nursing , 1966 .

[15]  I Iakovidis,et al.  From electronic medical record to personal health record. , 1997, Studies in health technology and informatics.

[16]  J Gosbee,et al.  Communication among health professionals , 1998, BMJ.

[17]  M J Bull,et al.  Components of a proper hospital discharge for elders. , 2001, Journal of advanced nursing.

[18]  BakkenSuzanne,et al.  Formal nursing terminology systems , 2002 .

[19]  S E Jewell,et al.  Discovery of the discharge process: a study of patient discharge from a care unit for elderly people. , 1993, Journal of advanced nursing.

[20]  G. Gardner Hospital and home : strange bedfellows or new partners? , 2000 .

[21]  M. Anderson,et al.  Home health care referrals following hospital discharge: communication in health services delivery. , 1993, Hospital & health services administration.

[22]  Sosial og helsedepartementet Mer helse for hver bIT , 1996 .

[23]  S K Armitage,et al.  Consumer-orientated outcomes in discharge planning: a pilot study. , 1998, Journal of clinical nursing.

[24]  E. Kuipers,et al.  Continuity of care and clinical outcome: a prospective cohort study , 2000, Social Psychiatry and Psychiatric Epidemiology.

[25]  M. Tansella,et al.  Continuity of care for patients with schizophrenia and related disorders: a comparative South-Verona and Groningen case-register study , 1997, Psychological Medicine.

[26]  R. Lenhard,et al.  AUTRES—The Johns Hopkins Hospital automated resume , 1991, Journal of Medical Systems.

[27]  H. Warner,et al.  Enroute toward a computer based patient record: the ACIS project. , 1995, Proceedings. Symposium on Computer Applications in Medical Care.

[28]  E. Hackenitz,et al.  How to bridge the gap between hospital and home? , 1991, Journal of advanced nursing.

[29]  Colin Robson,et al.  Real World Research: A Resource for Social Scientists and Practitioner-Researchers , 1993 .

[30]  L. Hansson,et al.  The Nordic comparative study on sectorized psychiatry , 1996, Social Psychiatry and Psychiatric Epidemiology.

[31]  M. Lambert Linking mental health and addiction services: A continuity-of-care team model , 2002, The Journal of Behavioral Health Services & Research.

[32]  Suzanne Bakken,et al.  Formal nursing terminology systems: a means to an end , 2002, J. Biomed. Informatics.

[33]  D. Holland,et al.  Continuity of care: a nursing needs assessment instrument. , 1998, Geriatric nursing.

[34]  S. Beddar,et al.  Continuity of care: a challenge for ambulatory oncology nursing. , 1994, Seminars in oncology nursing.

[35]  L. D. de Witte,et al.  Effects of transmural care on coordination and continuity of care. , 2000, Patient education and counseling.

[36]  Lorraine O. Walker,et al.  Strategies for theory construction in nursing , 1983 .

[37]  Ilias Iakovidis,et al.  Towards personal health record: current situation, obstacles and trends in implementation of electronic healthcare record in Europe , 1998, Int. J. Medical Informatics.

[38]  R. Carnwell,et al.  The primary and secondary care interface: the educational needs of nursing staff for the provision of seamless care. , 2001, Journal of advanced nursing.

[39]  A. Pearson,et al.  Systematic reviews of qualitative research , 2001 .

[40]  J. Foster,et al.  Nurse Information Needs for Efficient Care Continuity Across Patient Units , 1995, The Journal of nursing administration.

[41]  R. Wit,et al.  From hospital to home care: a randomized controlled trial of a Pain Education Programme for cancer patients with chronic pain. , 2001 .

[42]  P. Mistiaen,et al.  Predictive validity of the BRASS index in screening patients with post-discharge problems. Blaylock Risk Assessment Screening Score. , 1999, Journal of Advanced Nursing.

[43]  M. Donaldson Continuity of Care: A Reconceptualization , 2001, Medical care research and review : MCRR.

[44]  F Olesen,et al.  Improving the interface between primary and secondary care: a statement from the European Working Party on Quality in Family Practice (EQuiP) , 2001, Quality in health care : QHC.

[45]  M. Kastrup,et al.  The Nordic Comparative Study on Sectorized Psychiatry: continuity of care related to characteristics of the psychiatric services and the patients , 1998, Social Psychiatry and Psychiatric Epidemiology.

[46]  T J Jacobsen Workstations as enabling technologies for the computer-based patient record (CPR): point of care approaches across the patient care continuum-nursing's perspective. , 1994, International journal of bio-medical computing.

[47]  Jan Mainz,et al.  [Shared care--integrated cooperation across the sector boundaries about patient's course. Modern health care system cooperates]. , 2002, Ugeskrift for laeger.

[48]  P Bolton,et al.  A review of the role of information technology in discharge communications in Australia. , 1999, Australian health review : a publication of the Australian Hospital Association.

[49]  F. Stevens,et al.  MODERNIZATION, RATIONALITY AND CONTINUITY OF CARE: THEORETICAL CONCEPTS AND EMPIRICAL FINDINGS* , 1997 .

[50]  M. Anderson,et al.  Communication between continuing care organizations. , 1995, Research in nursing & health.

[51]  M. Bull Managing the Transition from Hospital to Home , 1992 .

[52]  D. Woods,et al.  Gaps in the continuity of care and progress on patient safety , 2000, BMJ : British Medical Journal.

[53]  L. Heslop,et al.  Improving continuity of care across psychiatric and emergency services: combining patient data within a participatory action research framework. , 2000, Journal of advanced nursing.

[54]  M. Bull Discharge planning for older people: a review of current research. , 2000, British journal of community nursing.

[55]  I. King A theory for nursing: Systems, concepts, process , 1981 .

[56]  Suzanne Bakken,et al.  Review: Nursing Classification Systems: Necessary but not Sufficient for Representing "What Nurses Do" for Inclusion in Computer-based Patient Record Systems , 1997, J. Am. Medical Informatics Assoc..

[57]  G. Maruyama,et al.  Measuring Continuity of Elders’ Posthospital Care , 2000, Journal of Nursing Measurement.

[58]  C Delaney,et al.  An international methodology to describe clinical nursing phenomena: a team approach. , 2000, International journal of nursing studies.

[59]  T. Brennan,et al.  Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. , 1998, The Joint Commission journal on quality improvement.

[60]  I. Kowanko,et al.  Literature reviews: evolution of a research methodology. , 2000, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[61]  V Allgar,et al.  Going home from hospital: the carer/patient dyad. , 2001, Journal of advanced nursing.

[62]  David Pontin PhD Rn Rscn Rhv Primary nursing: a mode of care or a philosophy of nursing? , 1999 .

[63]  W. Ros,et al.  Transition of care: an evaluation of the role of the discharge liaison nurse in The Netherlands. , 1999, Journal of advanced nursing.

[64]  J. Magilvy,et al.  Circles of care: Home care and community support for rural older adults , 1994, ANS. Advances in nursing science.

[65]  J. Clare,et al.  Discharge planning and continuity of care for aged people: indicators of satisfaction and implications for practice. , 1998, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[66]  J M Morse,et al.  An exploration and advancement of the concept of trust. , 2001, Journal of advanced nursing.

[67]  D. Pontin Primary nursing: a mode of care or a philosophy of nursing? , 1999, Journal of advanced nursing.

[68]  S. R. Dvorak,et al.  Continuity of care from acute to ambulatory care setting. , 1998, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[69]  P. Hjortdahl,et al.  Continuity of hospital care: beyond the question of personal contact , 2002, BMJ : British Medical Journal.

[70]  R Haux,et al.  Networking in Shared Care – First Steps towards a Shared Electronic Patient Record for Cancer Patients , 2002, Methods of Information in Medicine.