Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Transition to a computer-based record using scannable, structured encounter forms

R N Shiffman1, C A Brandt, B G Freeman

  • 1Department of Pediatrics, Yale University School of Medicine, New Haven, Conn., USA. richard.shiffman@yale.edu

Archives of Pediatrics & Adolescent Medicine
|December 31, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Polyhydroxybutyrate and polyhydroxydodecanoate produced by Burkholderia contaminans IPT553.

Journal of applied microbiology·2017
Same author

Age and hunting success in the brown pelican: influences of skill and patch choice on foraging efficiency.

Oecologia·2017
Same author

Medical Informatics Training at Yale University School of Medicine.

Yearbook of medical informatics·2016
Same author

Seasonal influences upon imprinting.

Behavioural processes·2014
Same author

Detection of metal contamination in wild asparagus near a waste disposal site.

Environmental monitoring and assessment·2013
Same author

Validating a natural language processing tool to exclude psychogenic nonepileptic seizures in electronic medical record-based epilepsy research.

Epilepsy & behavior : E&B·2013
Same journal

Physical Activity Awareness of British Adolescents.

Archives of pediatrics & adolescent medicine·2013
Same journal

About this journal.

Archives of pediatrics & adolescent medicine·2013
Same journal

Picture of the month-diagnosis.

Archives of pediatrics & adolescent medicine·2013
Same journal

Picture of the month-diagnosis.

Archives of pediatrics & adolescent medicine·2013
Same journal

Puget sound, Seattle, washington. March 2006.

Archives of pediatrics & adolescent medicine·2013
Same journal

Talia's shell, July 2008, in Bay Head, New Jersey.

Archives of pediatrics & adolescent medicine·2013
See all related articles

Structured documentation systems improve pediatric health maintenance records, documenting more developmental and guidance items. This system enhances electronic medical records and user satisfaction, easing the transition to digital patient records.

Area of Science:

  • Pediatric Health Maintenance
  • Electronic Medical Records
  • Clinical Documentation Systems

Background:

  • Traditional paper-based documentation systems can lead to incomplete records.
  • Transitioning to electronic medical records (EMR) presents challenges in data quality and user adoption.
  • Improving documentation quality in pediatric health maintenance is crucial for comprehensive patient care.

Purpose of the Study:

  • To assess the documentation quality of a structured documentation system for pediatric health maintenance encounters.
  • To evaluate user satisfaction with a system using scanned paper forms for EMR generation.
  • To determine the long-term effectiveness of structured documentation in maintaining high-quality records.

Main Methods:

  • Retrospective review comparing structured (ST) and unstructured records.

Related Experiment Videos

  • User satisfaction assessment via questionnaires.
  • Analysis of EMR data one year post-implementation to evaluate persistence of effects.

    • Main Results:

    • Structured records documented significantly more data elements, including developmental items (11.5 vs 4.8) and anticipatory guidance (8.3 vs 2.5).
    • Ninety percent of users preferred the structured system.
    • High documentation thoroughness persisted one year after system adoption.

    Conclusions:

    • Structured, scannable encounter forms enhance the quality of pediatric health maintenance documentation.
    • This system is well-accepted by healthcare providers, facilitating EMR transition.
    • Structured documentation offers an effective solution for improving clinical record-keeping.