Attitudes and Behavior of Health Care Workers Before, During, and After Implementation of Real-Time Location System Technology.

Autor:	Griffin JM; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Hellmich TR; Department of Emergency Medicine, Mayo Clinic, Rochester, MN., Pasupathy KS; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Funni SA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Pagel SM; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Srinivasan SS; David Eccles School of Business, University of Utah, Salt Lake City., Heaton HA; Department of Emergency Medicine, Mayo Clinic, Rochester, MN., Sir MY; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Nestler DM; Department of Emergency Medicine, Mayo Clinic, Rochester, MN., Blocker RC; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Hawthorne HJ; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Koenig KR; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Herbst KM; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN., Hallbeck MS; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Jazyk:	angličtina
Zdroj:	Mayo Clinic proceedings. Innovations, quality & outcomes [Mayo Clin Proc Innov Qual Outcomes] 2020 Jan 08; Vol. 4 (1), pp. 90-98. Date of Electronic Publication: 2020 Jan 08 (Print Publication: 2020).
DOI:	10.1016/j.mayocpiqo.2019.10.007
Abstrakt:	Objective: To assess how staff attitudes before, during, and after implementation of a real-time location system (RTLS) that uses radio-frequency identification tags on staff and patient identification badges and on equipment affected staff's intention to use and actual use of an RTLS. Participants and Methods: A series of 3 online surveys were sent to staff at an emergency department with plans to implement an RTLS between June 1, 2015, and November 29, 2016. Each survey corresponded with a different phase of implementation: preimplementation, midimplementation, and postimplementation. Multiple logistic regression with backward elimination was used to assess the relationship between demographic variables, attitudes about RTLSs, and intention to use or actual use of an RTLS. Results: Demographic variables were not associated with intention to use or actual use of the RTLS. Before implementation, poor perceptions about the technology's usefulness and lack of trust in how employers would use tracking data were associated with weaker intentions to use the RTLS. During and after implementation, attitudes about the technology's use, not issues related to autonomy and privacy, were associated with less use of the technology. Conclusion: Real-time location systems have the potential to assess patterns of health care delivery that could be modified to reduce costs and improve the quality of care. Successful implementation, however, may hinge on how staff weighs attitudes and concerns about their autonomy and personal privacy with organizational goals. With the large investments required for new technology, serious consideration should be given to address staff attitudes about privacy and technology in order to assure successful implementation. (© 2019 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.)
Databáze:	MEDLINE
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