Cognitive factors influencing perceptions of clinical documentation tools

  • Authors:
  • S. Trent Rosenbloom;Adrienne N. Crow;Jennifer Urbano Blackford;Kevin B. Johnson

  • Affiliations:
  • Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN, USA;Meharry Medical College, Nashville, TN, USA;Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN, USA;Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN, USA

  • Venue:
  • Journal of Biomedical Informatics
  • Year:
  • 2007

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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.