Physicians' and nurses' documenting practices and implications for electronic patient record design

Authors:
Elke Reuss;Rahel Naef;Rochus Keller;Moira Norrie
Affiliations:
Institute for Information Systems, Department of Computer Science, Swiss Federal Institute of Technology ETH, Zurich, Switzerland;Departement of Nursing and Social Services, Kantonsspital Luzern, Lucerne, Switzerland;Datonal AG, Medical Information Systems Research, Rotkreuz, Switzerland;Institute for Information Systems, Department of Computer Science, Swiss Federal Institute of Technology ETH, Zurich, Switzerland
Venue:
USAB'07 Proceedings of the 3rd Human-computer interaction and usability engineering of the Austrian computer society conference on HCI and usability for medicine and health care
Year:
2007

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Abstract

Data entry is still one of the most challenging bottlenecks of electronic patient record (EPR) use. Today's systems obviously neglect the professionals' practices due to the rigidity of the electronic forms. For example, adding annotations is not supported in a suitable way. The aim of our study was to understand the physicians' and nurses' practices when recording information in a patient record. Based on the findings, we outline use cases under which all identified practices can be subsumed. A system that implements these use cases should show a considerably improved acceptance among professionals.