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Documentation of vital signs in electronic records: the development of workarounds
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Sheffield. (Centre for Health Information Management Research (CHIMR))ORCID iD: 0000-0002-4626-3979
Kalmar County Hospital, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-4295-7201
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2015 (English)In: Health informatics for enhancing health and well-being: Proceedings of the seventeenth International Symposium for Health Information Management Research, York, UK 24-26 June 2015 / [ed] P. Bath, H. Spring, &, B Sen, B, 2015Conference paper, Oral presentation with published abstract (Refereed)
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.

Place, publisher, year, edition, pages
2015.
Keywords [en]
Electronic records, Vital signs, Workarounds, Patient safety
National Category
Other Medical Sciences not elsewhere specified
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:lnu:diva-71128OAI: oai:DiVA.org:lnu-71128DiVA, id: diva2:1186332
Conference
ISHIMR 2015: 17th International Symposium for Health Information Management Research, York, UK, June 25-26, 2015
Available from: 2018-02-28 Created: 2018-02-28 Last updated: 2018-05-18Bibliographically approved

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Stevenson-Ågren, JeanIsraelsson, JohanNilsson, GunillaPetersson, Göran

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Stevenson-Ågren, JeanIsraelsson, JohanNilsson, GunillaPetersson, Göran
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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
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  • nn-NB
  • sv-SE
  • Other locale
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Output format
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