Cognitive factors influencing perceptions of clinical documentation tools.

Rosenbloom ST, Crow AN, Blackford JU, Johnson KB
J Biomed Inform. 2007 40 (2): 106-13

PMID: 16904384 · DOI:10.1016/j.jbi.2006.06.006

Identifying healthcare providers' perceptions of clinical documentation methods can inform the design of computer-based documentation tools. The authors investigated the cognitive factors underlying such perceptions by performing a qualitative analysis that included open-ended in-depth interviews of a convenience sample of healthcare providers who use a variety of documentation methods. A total of 16 providers participated in the study; subjects included physicians and nurse practitioners from medical and surgical specialties who used paper- and computer-based documentation tools. Based on interview data, authors identified five factors that influenced satisfaction with clinical documentation tools: document system time efficiency, availability, expressivity, structure, and quality. These factors, if validated by subsequent investigations, can be used to develop a formal conceptual model of providers' perceptions of their satisfaction with various documentation systems.

MeSH Terms (14)

Adult Aged Attitude of Health Personnel Consumer Behavior Documentation Female Humans Information Storage and Retrieval Male Medical Records Systems, Computerized Middle Aged Professional Competence Software Surveys and Questionnaires

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