Stevenson, J.E., Israelsson, J., Petersson, G. et al. (2 more authors) (2016) Vital sign documentation in electronic records: The development of workarounds. Health Informatics Journal. ISSN 1460-4582
Abstract
Workarounds are commonplace in healthcare settings. An increase in the use of electronic health records has led to an escalation of workarounds as healthcare professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in electronic health records 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 workflow 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 handwritten notes and a total of eight pre-printed paper observation charts. Our results suggested that nurses created workarounds to allow a smooth workflow and ensure patients safety.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 SAGE Publications. This is an author produced version of a paper subsequently published in Health Informatics Journal. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | electronic health records; healthcare professionals; patient safety; vital signs; workarounds |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Information School (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 22 Aug 2016 12:32 |
Last Modified: | 20 Mar 2018 17:52 |
Published Version: | http://dx.doi.org/10.1177/1460458216663024 |
Status: | Published |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | 10.1177/1460458216663024 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:103923 |