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Tytuł pozycji:

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses’ handoffs on medical and surgical units: Insights from interviews and observations.

Tytuł :
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses’ handoffs on medical and surgical units: Insights from interviews and observations.
Autorzy :
Staggers, Nancy
Clark, Lauren
Blaz, Jacquelyn W.
Kapsandoy, Seraphine
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Temat :
*Electronic health records
*Sound recordings
*Qualitative research
*Information needs
*Content mining
Academic medical centers
Cancer treatment
Customer satisfaction
Interviewing
Nurses' attitudes
Observation (Scientific method)
Report writing
Order entry
Judgment sampling
Unobtrusive measures
Specialty hospitals
Źródło :
Health Informatics Journal. Sep2011, Vol. 17 Issue 3, p209-223. 15p.
Czasopismo naukowe
Patient care handoffs are cognitively intense activities, especially on medical and surgical units where nurses synthesize information across an average of four to five patients every shift. The objective of this study was to examine handoffs and nurses’ use of computerized patient summary reports in an electronic health record after computerized provider order entry (CPOE) was installed. We observed and audio taped 93 patient handoffs on 25 occasions on 5 acute care units in 2 different facilities sharing a vendor’s electronic health record. We found that the computerized patient summary report and the electronic health record were minimally used during the handoff and that the existing patient summary reports did not provide adequate cognitive support for nurses. The patient summary reports were incomplete, rigid and did not offer “at a glance” information, or help nurses encode information. We make recommendations about a redesign of patient summary reports and technology to support the cognitive needs of nurses during handoffs at the change of shift. [ABSTRACT FROM PUBLISHER]

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