Title
The EHR and building the patient’s story: A qualitative investigation of how EHR use obstructs a vital clinical activity
Abstract
•Building the patient’s story is an essential part of clinical reasoning activities.•Each clinician builds the patient’s story and, in the paper-based chart, shares their version of the patient’s story via the patient chart. This sharing supports clinicians’ ability to provide patient-centered care, within an interprofessional team, and to safeguard patient safety.•The use of an EHR can obstruct clinicians’ ability to build the patient’s story and to disseminate it to other members of the care team. This obstruction was created by fragmenting patient data interconnections and limiting the spaces available for narrative notes.•When an EHR impedes clinicians’ ability to build the patient’s story, interprofessional sharing of patient data interpretations, and time efficient care delivery can be compromised.
Year
DOI
Venue
2015
10.1016/j.ijmedinf.2015.09.004
International Journal of Medical Informatics
Keywords
Field
DocType
Electronic health records,Patient story,Narrative,Clinical reasoning,Interprofessional team collaboration
Grounded theory,Data collection,Nursing,Credibility,Patient safety,Knowledge management,Narrative,Information Dissemination,Documentation,Qualitative research,Medicine
Journal
Volume
Issue
ISSN
84
12
1386-5056
Citations 
PageRank 
References 
8
0.62
8
Authors
6
Name
Order
Citations
PageRank
Lara Varpio1231.92
Judy Rashotte290.96
Kathy Day391.30
James King480.62
Craig E. Kuziemsky520338.37
Avi Parush619822.17