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Dissertation
Utilizing Telemedicine In The Icu: Does It Impact Teamwork?
Electronic Theses and Dissertations
  • Elizabeth Lazzara, University of Central Florida
Keywords
  • Telemedicine,
  • teamwork,
  • team effectiveness,
  • teams,
  • telerounding
Subject Categories
Abstract

Adverse events and medical errors plague the healthcare system. Hospital acquired infections and teamwork are some of the biggest contributor to these adverse outcomes. In an effort to mitigate these problems, administrators and clinicians alike have developed mechanisms, such as telemedicine. However, little research has been conducted investigating the role of telemedicine on teamwork -- a fundamental component of quality patient care. The purpose of this study is to gain a better understanding of the impact of telemedicine on teamwork behaviors and subsequent teamwork attitudes and cognitions during a common medical task, rounds within the Trauma-Intensive Care Unit. To this end, rounds were conducted with and without telemedicine. During this 60 day period, 16 clinicians completed three surveys and 34 rounds were video recorded. The results of this study suggest that the relationships between teamwork attitudes, behaviors, cognitions, and outcomes are differential impacted under conditions with and without telemedicine. More specifically, telemedicine is associated with an increase in attendance and communication density. Meanwhile, it does not significantly impact teamwork attitudes or cognitions. The primary implications of these findings indicate that telemedicine is not the solution for improving all teamwork elements but yet it is not a complete detriment either

Notes

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Graduation Date
2013
Semester
Fall
Advisor
Salas, Eduardo
Degree
Doctor of Philosophy (Ph.D.)
College
College of Sciences
Department
Psychology
Degree Program
Psychology; Human Factors Psychology
Format
application/pdf
Identifier
CFE0005103
URL
http://purl.fcla.edu/fcla/etd/CFE0005103
Language
English
Release Date
December 2014
Length of Campus-only Access
1 year
Access Status
Doctoral Dissertation (Open Access)
Subjects
Dissertations, Academic -- Sciences, Sciences -- Dissertations, Academic
URL
https://stars.library.ucf.edu/etd/2859
Citation Information
Elizabeth Lazzara. "Utilizing Telemedicine In The Icu: Does It Impact Teamwork?" (2013)
Available at: http://works.bepress.com/elizabeth_lazzara/18/