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. 2020 Jun 1;50(3):107–117. doi: 10.1177/1833358320920589

Table 2.

Characteristics of top four high-traffic EHR screens for ICU physician pre-rounding.

EHR screen Key content Key features and functionality
Results review
  • Laboratory, imaging and diagnostic studies

  • Comprehensive longitudinal record

  • User-specified granularity; menus expand/collapse

  • Filters allow for sorting by time, category, etc.

  • Supports graphing and visualisation

  • Search bar

Summary/overview
  • Free-text team sticky note summarising plan of care

  • Real-time highlights of lab results and vital sign trends

  • Dedicated box identifying members of the care team

  • Isolated windows for key info (lines, access devices, etc.)

  • Blood transfusion summary

  • “Home page” of the patient’s chart

  • Digital bulletin board/“dashboard”

  • Hyperlink to other pages

  • At-a-glance view

  • Free-text “sticky notes” facilitate collaborative, multidisciplinary messaging offline

Flowsheet
  • Vital signs, hemodynamic parameters

  • Intake/output

  • Infusions, drips, fluids, medications

  • Ventilator settings

  • Blood gases

  • Chronological alignment of different clinical data elements

  • Basic timeline visualisation

  • Supports assessment of trends and trajectory

  • Flexible time views (e.g. 12 hour, 24 hour, 48 hour…)

  • Spreadsheet layout is simple and familiar

Chart review
  • Narrative information

  • Clinical notes and documentation (primary + consult teams)

  • Scanned documents from outside sources (hospitals/clinics)

  • Horizontal tabular access to specific areas

  • Digital “file cabinet” with organisation by “folders” or “tabs”

EHR: electronic health record; ICU: intensive care unit.