Randi S. Cartmill

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OBJECTIVE To assess intensive care unit (ICU) nurses' acceptance of electronic health records (EHR) technology and examine the relationship between EHR design, implementation factors, and nurse acceptance. DESIGN The authors analyzed data from two cross-sectional survey questionnaires distributed to nurses working in four ICUs at a northeastern US(More)
This study provides the first systematic examination of patterns of occupational sex segregation in less developed countries. I apply log-linear and log-multiplicative models to six-category occupational data from 44 nations to describe and explain the segregation patterns in both industrialized and less developed countries. These analyses indicate that(More)
OBJECTIVE To examine medication safety in two intensive care units (ICU), and to assess the complexity of medication errors and adverse drug events (ADE) in ICUs across the stages of the medication-management process. METHODS Four trained nurse data collectors gathered data on medication errors and ADEs between October 2006 and March 2007. Patient care(More)
OBJECTIVE To assess the impact of EHR technology on the work and workflow of ICU physicians and compare time spent by ICU resident and attending physicians on various tasks before and after EHR implementation. DESIGN EHR technology with electronic order management (CPOE, medication administration and pharmacy system) and physician documentation was(More)
OBJECTIVE To evaluate the incidence of duplicate medication orders before and after computerized provider order entry (CPOE) with clinical decision support (CDS) implementation and identify contributing factors. DESIGN CPOE with duplicate medication order alerts was implemented in a 400-bed Northeastern US community tertiary care teaching hospital. In a(More)
OBJECTIVES The aim of this study is to assess the contributions of care management as perceived by care managers themselves. STUDY DESIGN Focus groups and interviews with care managers who coordinate care for chronic obstructive pulmonary disease and congestive heart failure patients, as well as patients undergoing major surgery. METHODS We collected(More)
BACKGROUND Researchers have used various methods to describe and quantify the work of nurses. Many of these studies were focused on nursing in general care settings; therefore, less is known about the unique work nurses perform in intensive care units (ICUs). OBJECTIVES The aim of this study was to observe adult and pediatric ICU nurses in order to(More)
A human factors approach to healthcare system redesign emphasizes the involvement of multiple healthcare stakeholders (e.g., patients and families, healthcare providers) in the redesign process. This study explores the experience of multiple stakeholders with collaboration in a healthcare system redesign project. Interviews were conducted with ten(More)
Abstract. Health Information Exchange (HIE) can have several benefits, in particular facilitating access to and sharing of patient-related information. Despite these potential benefits, implementation and maintenance of HIEs have been challenging and many attempts to develop HIEs have been abandoned. Most research on HIE focuses on the financial,(More)