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Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
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Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Health Information Technology (HIT)
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Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Computerized provider order entry adoption: implications for clinical workflow.

Emily M Campbell1, Kenneth P Guappone, Dean F Sittig

  • 1Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR 97239-3098, USA.

Journal of General Internal Medicine
|November 21, 2008
PubMed
Summary
This summary is machine-generated.

Computerized provider order entry (CPOE) systems can negatively impact clinical workflow by causing interaction issues and reducing awareness. Careful adjustments to both CPOE and workflow are essential to mitigate these adverse effects.

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Area of Science:

  • Health Informatics
  • Clinical Workflow Analysis
  • Human-Computer Interaction

Background:

  • Computerized provider order entry (CPOE) systems are widely adopted in healthcare settings.
  • Understanding the impact of CPOE on clinical workflow is crucial for effective implementation.
  • Previous research has highlighted potential benefits but also challenges associated with CPOE.

Purpose of the Study:

  • To identify and describe unintended adverse consequences of CPOE systems on clinical workflow.
  • To analyze the specific ways CPOE implementation affects healthcare professionals' daily tasks.
  • To provide insights for improving CPOE system design and integration.

Main Methods:

  • Qualitative data analysis from field observations and interviews.
  • A three-year study conducted across five hospitals in three healthcare organizations.
  • Multidisciplinary research team identifying themes related to CPOE's impact on workflow.

Main Results:

  • CPOE systems introduce human/computer interaction problems.
  • They alter the pace, sequencing, and dynamics of clinical activities.
  • CPOE offers partial support, reduces situation awareness, and may not align with organizational policies.

Conclusions:

  • Mitigating unintended adverse effects of CPOE on clinical workflow is essential.
  • Iterative adjustments to both CPOE systems and clinical workflows can achieve a better fit.
  • Continuous evaluation and adaptation are necessary for successful CPOE integration.