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Proceedings of the AMIA Symposium logoLink to Proceedings of the AMIA Symposium
. 1998:255–259.

Evaluation of online documentation.

C M Prophet 1, M E Krall 1, G K Budreau 1, T D Gibbs 1, K P Walker 1, J M Eyman 1, M J Hafner 1
PMCID: PMC2232263  PMID: 9929221

Abstract

The University of Iowa Hospitals and Clinics (UIHC) implemented an online documentation system for patient care orders in 1994-1996. Developed entirely in-house, the INFORMM NIS (Information Network for Online Retrieval & Medical Management Nursing Information System) features order-generated task lists, defaulted charting responses, computer-generated chart forms, and graphical data displays. To measure the impact of automation on user perceptions, and documentation compliance, completeness, time, and location, a team of nursing and information systems representatives captured data before and after implementation. Staff surveys show more positive user perceptions. Documentation results indicate increased compliance and completeness, and a decrease or no change in time. Online documentation occurs mainly at unit workstations.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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