Evaluation of online documentation

被引:0
|
作者
Prophet, CM
Krall, ME
Budreau, GK
Gibbs, TD
Walker, KP
Eyman, JM
Hafner, MJ
机构
[1] Univ Iowa Hosp & Clin, Dept Nursing & Patient Care Serv, Iowa City, IA 52242 USA
[2] Univ Iowa Hosp & Clin, Dept Hosp Informat Syst, Iowa City, IA 52242 USA
关键词
D O I
暂无
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
The University of Iowa Hospitals and Clinics (UIHC) implemented an online documentation system for patient care orders in 1994-1996. Developed entirely in-house, the INFORMM NIS (Information Network for Online Retrieval & Medical Management Nursing Information System) features order-generated task lists, defaulted charting responses, computer-generated chart forms, and graphical data displays. To measure the impact of automation on user perceptions, and documentation compliance, completeness, time, and location, a team of nursing and information systems representatives captured data before and after implementation. Staff surveys show more positive user perceptions. Documentation results indicate increased compliance and completeness, and a decrease or no change in time. Online documentation occurs mainly at unit workstations.
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页码:255 / 259
页数:5
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