Biomedical subjects

David Pinelle

Publications and source records attributed to David Pinelle.

4 recordsLinked to original sources

PubMed2005

A collaborative document repository for home care teams.

Home care workers are mobile, work out of different locations, and have a high level of uncertainty in their schedules. This makes communication and information sharing difficult, and workers are often unable to account for others' activities when planning their own treatments. To address this issue, we developed and evaluated a clinical information system for home care that supports current paperwork practices and stores documents in a central repository that is accessible by all workers that treat a patient.

Cooperative Behavior↗

PubMed2005

Decision support for community-based empirical antibiotic prescribing.

Inappropriate antibiotic prescribing is common, and the consequences are severe. Prescribing guidelines are intended to reduce inappropriate prescribing. Guidelines, though, give empirical antibiotic treatment recommendations that are general and not tailored to local prevalence patterns. A computerized decision support system for empirical antibiotic prescribing that considers the likely infectious organism, antibiotic susceptibility, and patient characteristics, should decrease inappropriate antibiotic prescribing. We describe the design of such a system and the setting for its evaluation.

Anti-Bacterial Agents↗

PubMed2003

Awareness-based scheduling in a home care clinical information system.

In home care, workers from different disciplines treat patients in their homes. However, workers who treat a shared patient are mobile and rarely see each other face-to-face, so it is difficult for them to maintain awareness of others' activities. In this paper, we discuss one aspect of these information limitations by considering how limited awareness of others' schedules influences work patterns in home care. We identify and discuss several problems that arise from incomplete information about others' schedules. We examine design approaches for supporting mutual awareness of others' schedules by presenting Mohoc, a point-of-care clinical information system for workers in Saskatoon District Health, and the results of a 2(1/2)-month field trial we carried out with the system.

Home Care Services↗

PubMed2002

Supporting collaboration in multidisciplinary home care teams.

Collaboration is an important part of healthcare delivery. However, in home care, collaboration is difficult due to the mobility and schedule variability of the workers. In this paper, we investigate the difficulties inherent in home care collaboration. We present the results of a study carried out with home care clinicians in Saskatoon District Health, and identify five areas of collaboration that are difficult for home care workers: scheduling, information dissemination, information retrieval, short-term treatment coordination, and long-term treatment planning. We present recommendations for incorporating support for each of these areas into point-of-care clinical information systems that provide access to shared patient records. Finally, we discuss general design approaches for incorporating this type of support, including the need for workers to maintain awareness of the activities of others, and the need to integrate communication with the presentation of the health record.

Communication↗