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Vital sign documentation in electronic records: the development of workarounds
Linnaeus University, Faculty of Arts and Humanities, Department of Languages. Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Sheffield, UK. (Centre for Health Information Management Research (CHIMR))
Kalmar County Hospital.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
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2016 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, 1-10 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

Workarounds are commonplace in health care settings. An increase in the use of electronic health records (EHR) has led to an escalation of workarounds as health care professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in EHR 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 work flow 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 hand-written notes and a total of eight pre-printed paper observation charts. Our results suggested that nurses created workarounds to allow a smooth workflow and to ensure patients safety.

Place, publisher, year, edition, pages
Sage Publications, 2016. 1-10 p.
Keyword [en]
electronic health records, healthcare professionals, patient safety, vital signs, workarounds
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Information Systems
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:lnu:diva-55697DOI: 10.1177/1460458216663024OAI: oai:DiVA.org:lnu-55697DiVA: diva2:954309
Available from: 2016-08-22 Created: 2016-08-22 Last updated: 2016-08-30

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Stevenson-Ågren, JeanNilsson, GunillaPetersson, Göran
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