Attitudes and Behavior of Health Care Workers Before, During, and After Implementation of Real-Time Location System Technology
Autor: | Kalyan S. Pasupathy, Heather A. Heaton, Sankara Subramanian Srinivasan, Shealeigh Funni, Mustafa Y. Sir, Thomas R. Hellmich, Skylar M. Pagel, Renaldo C. Blocker, Joan M. Griffin, Kelly M. Herbst, Kyle R. Koenig, M. Susan Hallbeck, Hunter J. Hawthorne, David M. Nestler |
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Rok vydání: | 2020 |
Předmět: |
lcsh:R5-920
business.industry RTLS real-time location system media_common.quotation_subject Applied psychology Emergency department 030204 cardiovascular system & hematology RFID radio-frequency identification Real-time locating system 03 medical and health sciences Identification (information) 0302 clinical medicine Order (business) TAM technology acceptance model Health care Radio-frequency identification Medicine Original Article ED emergency department Technology acceptance model 030212 general & internal medicine lcsh:Medicine (General) business Autonomy media_common |
Zdroj: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 4, Iss 1, Pp 90-98 (2020) Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
ISSN: | 2542-4548 |
DOI: | 10.1016/j.mayocpiqo.2019.10.007 |
Popis: | 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. |
Databáze: | OpenAIRE |
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