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American Academy of Pediatrics
Brief Reports

Provider Experiences With Offering Families Bedside Health Record Access Across a Children’s Hospital

Michelle M. Kelly, Ryan J. Coller, Peter L. T. Hoonakker, Carrie L. Nacht and Shannon M. Dean
Hospital Pediatrics November 2020, 10 (11) 1002-1005; DOI: https://doi.org/10.1542/hpeds.2020-0044
Michelle M. Kelly
aDepartment of Pediatrics, School of Medicine and Public Health and
bCenter for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, Wisconsin
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Ryan J. Coller
aDepartment of Pediatrics, School of Medicine and Public Health and
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Peter L. T. Hoonakker
bCenter for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, Wisconsin
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Carrie L. Nacht
aDepartment of Pediatrics, School of Medicine and Public Health and
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Shannon M. Dean
aDepartment of Pediatrics, School of Medicine and Public Health and
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Abstract

OBJECTIVES: Evaluate provider experiences with a bedside tablet inpatient portal application given to hospitalized patients and families across a children’s hospital.

METHODS: In this cross-sectional study, English-speaking parents of children <12 years old and adolescents ≥12 years admitted between February and June 2017 to a 111-bed tertiary children’s hospital were given an inpatient portal application (MyChart Bedside; Epic Systems Corporation, Verona, WI) on a tablet (iPad) to use during their stay. The portal included real-time vital signs, test results, medication and problem lists, a daily schedule, educational materials, and provider names and photographs. Portal use was described from electronic health record data, and provider (physician, nurse, and pharmacist) experiences were assessed from surveys.

RESULTS: Of 1892 admissions given a tablet over 5 months, 1502 (79.4%) logged in to view their inpatient health record at least once during their hospital stay. No tablets were lost or stolen. Of 101 providers, 96 completed the survey (a response rate of 95%). They reported that patients and/or parents asked them questions about information they found, including laboratory results (45% of respondents), medications (13%), diagnoses (13%), and errors and/or mistakes in care (3%). Few perceived spending more time answering questions related to portal use (8%) or that it increased their workload (11%). In all, 92% of providers wanted patients and parents to continue to be able to use the portal.

CONCLUSIONS: Almost 80% of hospitalized patients and parents given a tablet accessed real-time information from the inpatient health record. The portal facilitated communication about test results, diagnoses, and medications and providers overwhelmingly supported its ongoing use.

  • Copyright © 2020 by the American Academy of Pediatrics
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Hospital Pediatrics: 10 (11)
Hospital Pediatrics
Vol. 10, Issue 11
1 Nov 2020
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Provider Experiences With Offering Families Bedside Health Record Access Across a Children’s Hospital
Michelle M. Kelly, Ryan J. Coller, Peter L. T. Hoonakker, Carrie L. Nacht, Shannon M. Dean
Hospital Pediatrics Nov 2020, 10 (11) 1002-1005; DOI: 10.1542/hpeds.2020-0044

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Provider Experiences With Offering Families Bedside Health Record Access Across a Children’s Hospital
Michelle M. Kelly, Ryan J. Coller, Peter L. T. Hoonakker, Carrie L. Nacht, Shannon M. Dean
Hospital Pediatrics Nov 2020, 10 (11) 1002-1005; DOI: 10.1542/hpeds.2020-0044
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