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Vital sign documentation in electronic records: the development of workarounds
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO). University of Sheffield, UK. (Centre for Health Information Management Research (CHIMR))ORCID-id: 0000-0002-4626-3979
Kalmar County Hospital.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO). (eHälsoinstitutet;eHealth Institute;DISA;DISA-IDP)ORCID-id: 0000-0002-4295-7201
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2018 (engelsk)Inngår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 24, nr 2, s. 206-215Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Workarounds are commonplace in health care settings. An increase in the use of electronic health records (EHR) has led to an escalation of workarounds as health care professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in EHR has been problematic. The accuracy and completeness of vital sign documentation has a direct impact on the recognition of deterioration in a patient’s condition. We examined work flow processes to identify workarounds related to vital signs in a 372-bed hospital in Sweden. In three clinical areas a qualitative study was performed with data collected during observations and interviews and analysed through thematic content analysis. We identified paper workarounds in the form of hand-written notes and a total of eight pre-printed paper observation charts. Our results suggested that nurses created workarounds to allow a smooth workflow and to ensure patients safety.

sted, utgiver, år, opplag, sider
Sage Publications, 2018. Vol. 24, nr 2, s. 206-215
Emneord [en]
electronic health records, healthcare professionals, patient safety, vital signs, workarounds
HSV kategori
Forskningsprogram
Hälsovetenskap, Hälsoinformatik
Identifikatorer
URN: urn:nbn:se:lnu:diva-55697DOI: 10.1177/1460458216663024ISI: 000432068300008PubMedID: 27542887OAI: oai:DiVA.org:lnu-55697DiVA, id: diva2:954309
Tilgjengelig fra: 2016-08-22 Laget: 2016-08-22 Sist oppdatert: 2019-03-05bibliografisk kontrollert

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