Title | ||
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The EHR and building the patient’s story: A qualitative investigation of how EHR use obstructs a vital clinical activity |
Abstract | ||
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•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 |
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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 Varpio | 1 | 23 | 1.92 |
Judy Rashotte | 2 | 9 | 0.96 |
Kathy Day | 3 | 9 | 1.30 |
James King | 4 | 8 | 0.62 |
Craig E. Kuziemsky | 5 | 203 | 38.37 |
Avi Parush | 6 | 198 | 22.17 |