Related Experiment Video
Updated: Dec 23, 2025
07:31
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.4K
Using Complexity Assessment to Inform the Development and Deployment of a Digital Dashboard for Schizophrenia Care:
Andreas Gremyr1,2, Boel Andersson Gäre2,3, Trisha Greenhalgh4
1Department of Schizophrenia Spectrum Disorders (Psykiatri Psykos), Sahlgrenska University Hospital, Mölndal, Sweden.
Journal of Medical Internet Research
|April 24, 2020
Summary
The Nonadoption, Abandonment, and challenges to Scale-up, Spread, and Sustainability-Complexity Assessment Tool (NASSS-CAT) helped stakeholders understand and manage complexities in a schizophrenia care dashboard project. This approach aids in the successful digitalization of healthcare technologies.
Area of Science:
- Healthcare Management
- Health Informatics
- Complex Adaptive Systems
Background:
- Healthcare systems are increasingly complex, with patients often managing multiple conditions and providers.
- Individuals with severe mental illnesses like schizophrenia face disproportionate healthcare complexities.
- The Nonadoption, Abandonment, and challenges to Scale-up, Spread, and Sustainability (NASSS) framework and its complexity assessment tool (NASSS-CAT) were developed to address healthcare complexity.
Observation:
- A pilot version of the NASSS-CAT was used to inform the development and deployment of a point-of-care dashboard for schizophrenia care.
- Stakeholders' experiences with the NASSS-CAT were documented through data collection and feedback sessions.
- Thematic analysis of observations and documents explored stakeholders' perceptions of the NASSS-CAT's usefulness.
Findings:
- The NASSS framework identified complexities across multiple domains: condition, technology, value proposition, organizational tasks, and the wider system.
- Stakeholders found the NASSS-CAT valuable for gaining new perspectives and identifying overlooked areas.
- Practical implications for managers and developers were derived from stakeholder feedback.
Implications:
- This case study demonstrates how stakeholders can proactively identify and manage complexities during technology implementation.
- The NASSS-CAT can enhance understanding of complexities inherent in healthcare digitalization projects.
- Utilizing complexity assessment tools like NASSS-CAT is crucial for successful healthcare technology adoption and sustainability.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
791
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
791
01:26Methods of Documentation IV: Focus Charting
1.6K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.6K
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.2K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.2K
01:17Flow Sheet
2.5K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
2.5K
01:10Documentation of Nursing Diagnosis
1.6K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.6K