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- Stevenson-Ågren, Jean, et al.
(författare)
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Documentation of vital signs in electronic health records : issues for patient safety
- 2013
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Ingår i: Proceedings of the sixteenth International Symposium for Health Information management Research, ISHIMR 2013. - Halifax : Dalhousie University & University of Sheffield. ; , s. 153-154
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Inadequate design and poor user-interface are given as reasons for unsuccessful implementation of electronic health records (EHR) [1,2]. However, rather than designing more suitable technology, the trend has been to 'muddle through' [2] and to urge health care workers to adapt to poorly designed systems [3]. This may work to some degree but little is known about the impact this could have on patient safety. The design of vital sign charts has an impact on the ability of clinicians to detect deterioration in patients' clinical status [4-6]. Changes in a patient's vital signs may indicate a lifethreatening event [7,8] so charts should be user-friendly to support clinicians in decision-making [9,10]. The aim of this study was to examine the documentation of physiological vital signs in an EHR. In this paper, we present the results regarding accessing information on a patient's physiological vital signs.
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| 2. |
- Stevenson-Ågren, Jean, et al.
(författare)
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Dokumentation av vitalparametrar i datorjournaler : En risk för patientsäkerheten?
- 2014
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Ingår i: VITALIS - Nordens ledande eHälsomöte. - Göteborg : Göteborgs universitet.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Tidig upptäckt och snabb hantering av riskpatienter har betraktats som det ’första steget i kedjan till överlevnad’ i hjärtlungräddning (HLR)[1]. Patienter uppvisar ofta tecken på försämring av kliniskt tillstånd under perioden före oväntad hjärtstopp [2]. För att förbättra identifieringen av försämring i kliniskt tillstånd hos patienter har många varianter på system för snabb respons införts med fokus på mätning, rapportering och hantering av patienter med avvikande vitalparametrar [3]. Datorjournaler journaler används allt mer inom vården för i stort sett all dokumentation. Däremot är kunskapen begränsad kring betydelsen av dokumentationen i datorjournalen för att upptäcka försämring av patienternas kliniska tillstånd. Syftet med denna studie var att undersöka dokumentationen av vitala parametrar i datorjournalen för sjukhusvårdade patienter, som efter inläggning drabbats av oväntat hjärtstopp.
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| 3. |
- Stevenson-Ågren, Jean, et al.
(författare)
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Electronic patient record and documentation of deterioration in patients at risk of in-hospital cardiac arrest : pilot study
- 2011
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Ingår i: ISHIMR 2011. - : J R Collis Publications. - 9780955928314 - 0955928311
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Early recognition of patients whose condition is deteriorating is essential to prevent cardiac arrest. To detect signs of deterioration, a patient’s vital signs, such as temperature, pulse, respiratory rate and blood pressure, are monitored. Poor design of vital sign charts is given as one of the reasons for deficiency in recognising patient deterioration. Little is known about the impact of documenting vital signs in electronic patient record (EPR) systems. The aim of this study is to examine to which extent the EPR supports the documentation of deterioration in patients at risk of in-hospital cardiac arrest. The poster reports on the pilot study which was performed to test the adequacy and appropriateness of the data collection tool and to examine the appropriateness of the data collected for statistical analyses.
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| 4. |
- Stevenson-Ågren, Jean, et al.
(författare)
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Nurses' experience of using electronic patient records in everyday practice : a literature review
- 2010
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 16:1, s. 63-72
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Tidskriftsartikel (refereegranskat)abstract
- Electronic patient record (EPR) systems have a huge impact onnursing documentation. Although the largest group of end-usersof EPRs, nurses have had minimal input in their design. Thisstudy aimed to review current research on how nurses experienceusing the EPR for documentation. A literature search was conductedin Medline and Cinahl of original, peer-reviewed articles from2000 to 2009, focusing on nurses in acute/ inpatient ward settings.After critical assessment, two quantitative and three qualitativearticles were included in the study. Results showed that nursesexperience widespread dissatisfaction with systems. Currentsystems are not designed to meet the needs of clinical practiceas they are not user-friendly, resulting in a potentially negativeimpact on individualized care and patient safety. There is anurgent need for nurses to be directly involved in software designto ensure that the essence and complexity of nursing is notlost in the system.
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| 5. |
- Stevenson-Ågren, Jean, et al.
(författare)
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Nurses’ perceptions of an electronic patient record from a patient safety perspective: A qualitative study.
- 2012
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 68:3, s. 667-676
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The overall aim of this study was to explore nurses’ perceptions of using an electronic patient record in everyday practice, in general ward settings. This paper reports on the patient safety aspects revealed in the study.Background: Electronic patient records (EPR) are widely used and becoming the main method of nursing documentation. Emerging evidence suggests that they fail to capture the essence of clinical practice and support the most frequent end-users: nurses. The impact of using EPR in general ward settings is under-explored.Method: In 2008, focus group interviews were conducted with 21 registered nurses (RNs). This was a qualitative study and the data were analysed by content analysis. At the time of data collection, the EPR system had been in use for approximately one year.Findings: The findings related to patient safety were clustered in one main category: ‘documentation in everyday practise’. There were three sub-categories: vital signs, overview and medication module. Nurses reported that the EPR did not support nursing practice when documenting crucial patient information, such as vital signs.Conclusions: Efforts should be made to include the views of nurses when designing an EPR to ensure it suits the needs of nursing practice and supports patient safety. Essential patient information needs to be easily accessible and provide support for decision-making.
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