Reading the medical record.I. Analysis of physicians ways of reading the medical record

• Physicians were interviewed about their routines in everyday use of the medical record. From the interviews, we conclude that the medical record is a well functioning working instrument for the experienced physician. Using the medical record as a basis for decision making involves interpretation of format, layout and other textual features of the type-written data. Interpretation of these features provides effective guidance in the process of searching, reading and assessing the relevance of different items of information in the record. It seems that this is a skill which is an integrated part of diagnostic expertise. This skill plays an important role in decision making based on the large amount of information about a patient that can be found in the medical record. This finding has implications for the design of user interfaces for reading computerized medical records.

Ämnesord

NATURVETENSKAP  -- Data- och informationsvetenskap (hsv//swe)

NATURAL SCIENCES  -- Computer and Information Sciences (hsv//eng)

SAMHÄLLSVETENSKAP  -- Psykologi -- Psykologi (hsv//swe)

SOCIAL SCIENCES  -- Psychology -- Psychology (hsv//eng)

Nyckelord

medical record

computerization

human-computer interface

Informatics, computer and systems science

Informatik, data- och systemvetenskap

Cognitive science

Kognitionsforskning

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)