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Cognitive factors influencing perceptions of clinical documentation tools
S Trent Rosenbloom1, Adrienne N Crow, Jennifer Urbano Blackford
1Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232-8340, USA. trent.rosenbloom@vanderbilt.edu
Abstract:
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.
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