| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 505465 | Computers in Biology and Medicine | 2011 | 8 Pages |
Abstract
A small scale documentation analysis was conducted to explore the medical and surgical nursing content of the patient record at a large teaching hospital affiliated with Partners Healthcare System (PHS), in preparation for a computerized documentation system. Through this study, we identified a number of problems associated with the paper record that require resolution in the new computerized system, including elimination of documentation redundancy, areas where more structure is needed to properly capture data on nursing practice, and various design considerations to support a more complete and accurate documentation of nursing care.
Related Topics
Physical Sciences and Engineering
Computer Science
Computer Science Applications
Authors
Hyeoneui Kim, Patricia C. Dykes, Debra Thomas, Linda A. Winfield, Roberto A. Rocha,