TY - JOUR
T1 - Leveraging systems thinking to design patient-centered clinical documentation systems
AU - Rothschild, Adam S.
AU - Dietrich, Linda
AU - Ball, Marion J.
AU - Wurtz, Heidi
AU - Farish-Hunt, Holly
AU - Cortes-Comerer, Nhora
PY - 2005/6
Y1 - 2005/6
N2 - A hospital is a type of system, yet healthcare information technology (IT) has largely failed to view it as such. The failure to view the hospital as a system has contributed to the practice of inefficient and ineffective clinical documentation. This paper seeks to address how current clinical documentation practices reflect and reinforce inefficiency and poor patient care. It also addresses how rethinking clinical documentation and IT together may improve the entire healthcare process by promoting a more integrated and patient-centered healthcare information paradigm. Rethinking IT in support of clinical documentation from a system-oriented perspective may help improve patient care and provider communication.
AB - A hospital is a type of system, yet healthcare information technology (IT) has largely failed to view it as such. The failure to view the hospital as a system has contributed to the practice of inefficient and ineffective clinical documentation. This paper seeks to address how current clinical documentation practices reflect and reinforce inefficiency and poor patient care. It also addresses how rethinking clinical documentation and IT together may improve the entire healthcare process by promoting a more integrated and patient-centered healthcare information paradigm. Rethinking IT in support of clinical documentation from a system-oriented perspective may help improve patient care and provider communication.
KW - Clinical documentation
KW - Computerized patient record
KW - Electronic health record
KW - Nursing documentation
KW - Problem-oriented medical record
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U2 - 10.1016/j.ijmedinf.2005.03.011
DO - 10.1016/j.ijmedinf.2005.03.011
M3 - Article
C2 - 15893262
AN - SCOPUS:18844441796
SN - 1386-5056
VL - 74
SP - 395
EP - 398
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
IS - 5
ER -