Face 2 Name


A hospital is complex environment with many moving parts; a patient is typically cared for by 20 different clinicians with different skills and responsibilities, many of who are ‘strangers’ to one another. Clinician ‘anonymity’ (the inability to identify one by name or sight) may have negative impacts patient-provider communication, inter-professional teamwork, and workflow efficiencies.
Face2Name is a collection of studies that aims to identify the effects of providing photographs of clinicians to patients and other hospital staff on clinician anonymity, communication, and teamwork.

Face2Name Part A is a randomized control trial (listed on ClinicalTrials.gov) conducted in the General Internal Medicine ward at the Toronto General Hospital. The study looked at the impact of providing patients with photographs of their clinical care team members on the ability for patients to recall their clinicians and on the quality of patient-provider communication. The Face2Name clinical trial randomized consenting patients into one of three study arms: Group A was the control group; they were not exposed to the intervention, and received care as per the current practice. Group B received the handout with names and roles of their clinical care team. Group C received the handout with names roles, and the photographs of the members of their clinical care team. Before discharge patients were administered a standardized survey that tested their memory recall and overall satisfaction with their hospital stay.
Results from the trial are reported in various publications:
· Appel, L., Abrams, H., Morra, D., & Wu, R. (2015) Put a Face to a Name: a Randomized Controlled Trial evaluating the impact of clinician photographs and names on hospital patients’ recall of, and communication with, their clinical care team members. American Journal of Medicine.
· Appel, L., & Wu, R. (2014). Put a Face to a Name: The use of photographs in health information systems to reduce anonymity and improve communication. In J. E. Katz (Ed.), Living inside mobile social media. Boston: Boston University Press.
( http://sites.bu.edu/cmcs/files/2014/01/Living-Inside-Mobile-Social-Information.pdf#page=227)
· Appel, L., & Wu, R. (2013, September). Put a Face to a Name: Providing Hospital Patients with Photographs of Their Care-Team Members May Improve Patient-Clinician Communication and Increase Overall Patient Satisfaction. InHealthcare Informatics (ICHI), 2013 IEEE International Conference on (pp. 153-158). IEEE.
( http://ieeexplore.ieee.org/xpl/login.jsp?tp=&arnumber=6680473&url=http%3A%2F%2Fieeexplore.ieee.org%2Fxpls

Face2Name Part B is an ethnographic study aimed at evaluating the effectiveness of a multi-platform application that provides staff with photographs of each other, and how this intervention might impact inter-professional anonymity, communication, and teamwork. This will be a non-randomized, open, longitudinal and in part a cohort study, using sequential mixed methods design to collect pre- and post-intervention data. It will consist of qualitative: (1) Participant observations and (2) semi-structured interviews, and quantitative (3) surveys and (4) analytics gathered from intervention use.

Face2Name is running in conjunction with Lora Appel’s PhD dissertation at Rutgers University in NJ. Feel free to contact Lora with comments or questions about Face2Name (Lora.appel@uhn.ca)

OpenLab project members:
Lora Appel (project lead), Dr. Rob Wu

Erin Lush, Heming Bai – University of Waterloo co-op
Sam Novak, Mario Badr, Andrew Danks, Simon Bromberg, David MacLean, Elizabeth Seary – University of Toronto

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