Griffin Joan M, Hellmich Thomas R, Pasupathy Kalyan Sunder, Funni Shealeigh A, Pagel Skylar M, Srinivasan Sankara Subramanian, Heaton Heather A, Sir Mustafa Y, Nestler David M, Blocker Renaldo C, Hawthorne Hunter J, Koenig Kyle R, Herbst Kelly M, Hallbeck M Susan
Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN.
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Mayo Clin Proc Innov Qual Outcomes. 2020 Jan 8;4(1):90-98. doi: 10.1016/j.mayocpiqo.2019.10.007. eCollection 2020 Feb.
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.
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.
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.
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.
评估在员工和患者识别徽章以及设备上使用射频识别标签的实时定位系统（RTLS）实施前、实施期间和实施后员工的态度如何影响员工使用RTLS的意愿和实际使用情况。
向一家急诊科的员工发送了一系列3次在线调查，该急诊科计划在2015年6月1日至2016年11月29日期间实施RTLS。每次调查对应实施的不同阶段：实施前、实施中期和实施后。采用带有向后排除法的多元逻辑回归来评估人口统计学变量、对RTLS的态度与使用RTLS的意愿或实际使用情况之间的关系。
人口统计学变量与使用RTLS的意愿或实际使用情况无关。在实施前，对该技术有用性的负面看法以及对雇主如何使用跟踪数据缺乏信任与使用RTLS的意愿较弱相关。在实施期间和实施后，对技术使用的态度而非与自主权和隐私相关的问题与较少使用该技术相关。
实时定位系统有可能评估医疗服务模式，对其进行调整以降低成本并提高护理质量。然而，成功实施可能取决于员工如何权衡对自主权和个人隐私的态度及担忧与组织目标。鉴于新技术需要大量投资，应认真考虑解决员工对隐私和技术的态度问题，以确保成功实施。
