Vital sign documentation in electronic records: The development of workarounds

Health Informatics Journal

Volumn 24, Issue 2, 2018, Pages 206-215

  Stevenson, Jean E ^a,c   Israelsson, Johan ^b   Nilsson, Gunilla ^c   Petersson, Goran ^c   Bath, Peter A ^a  

^a UNIVERSITY OF SHEFFIELD   (United Kingdom)

^b KALMAR COUNTY HOSPITAL   (Sweden)

^c NONE

Author keywords

electronic health records; healthcare professionals; patient safety; vital signs; workarounds

Indexed keywords

ADULT; ARTICLE; CONTENT ANALYSIS; DETERIORATION; DRUG SAFETY; ELECTRONIC HEALTH RECORD; HUMAN; INTERVIEW; NURSE; PATIENT SAFETY; QUALITATIVE RESEARCH; SWEDEN; VITAL SIGN; WORKFLOW; DOCUMENTATION; FEMALE; MALE; MIDDLE AGED; PROCEDURES; SOFTWARE DESIGN; STATISTICS AND NUMERICAL DATA; TRENDS;

ADULT; DOCUMENTATION; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; QUALITATIVE RESEARCH; SOFTWARE DESIGN; SWEDEN; VITAL SIGNS; WORKFLOW;

EID: 85044573021     PISSN: 14604582     EISSN: 17412811     Source Type: Journal    
DOI: 10.1177/1460458216663024     Document Type: Article

References (24)

1. Tucker AL. Workarounds and resiliency on the front lines of health care. In: RMEA Wachter, (ed.) Morbidity and mortality rounds in the web. Cambridge, MA: Harvard University, 2009.
2. Zhou X, Ackerman MS, Zheng K. CPOE workarounds, boundary objects, and assemblages. In: CHI 2011 - 29th annual CHI conference on human factors in computing systems, conference proceedings and extended abstracts, 2011, pp. 3353–3362. DOI: 10.1145/1978942.1979439.
3. Ayatollahi H, Bath PA, Goodacre S. Factors influencing the use of IT in the emergency department: a qualitative study. Health Informatics J 2010; 16: 189–200.
4. Stevenson JE, Nilsson GC. Nurses’ perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs 2012; 68: 667–676.
5. Eason K, Waterson P. Fitness for purpose when there are many different purposes: who are electronic patient records for? Health Informatics J 2014; 20: 189–198.
6. Stevenson JE, Israelsson J, Nilsson G. Recording signs of deterioration in acute patients: the documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest. Health Informatics J, 22(1), 21–33.
7. Bristow PJ, Hillman KM, Chey T. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust 2000; 173: 236–240.
8. Bellomo R, Goldsmith D, Uchino S. A prospective before-and-after trial of a medical emergency team. Med J Aust 2003; 179: 283–287.
9. Jones D, Bellomo R, Bates S. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care 2005; 9: 808–815.
10. Buist MD, Moore GE, Bernard SA. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ 2002; 324: 387–390.
11. McQuillan P, Pilkington S, Allan A. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998; 316: 1853–1858.
12. Hillman KM, Bristow PJ, Chey T. Antecedents to hospital deaths. Intern Med J 2001; 31: 343–348.
13. Punch KF. Introduction to social research: quantitative and qualitative approaches. London: SAGE, 2005.
14. Wisker G. The postgraduate research handbook. Basingstoke: Palgrave, 2001.
15. Bowling A. Research methods in health. 3rd ed. Maidenhead: McGraw Hill, 2009.
16. Saleem J, Russ A, Neddo A. Paper persistence, workarounds, and communication breakdowns in computerized consultation management. Int J Med Inform 2011; 80: 466–479.
17. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008; 62: 107–115.
18. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2008, p. 796.
19. Russ A, Saleem J, Justice C. Electronic health information in use: characteristics that support employee workflow and patient care. Health Informatics J 2010; 16: 287–305.
20. Ser G, Robertson A, Sheikh A. A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals. PLoS ONE 2014; 9: e77669.
21. DeVita MA, Smith GB, Adam SK. Identifying the hospitalised patient in crisis: a consensus conference on the afferent limb of rapid response systems. Resuscitation 2010; 81: 375–382.
22. Horswill M, Preece M, Hill A. Detecting abnormal vital signs on six observation charts: an experimental comparison. Sydney, NSW, Australia: Australian Commission on Safety and Quality in Health Care, 2010, pp. 1–25.
23. Tucker AL. The impact of operational failures on hospital nurses and their patients. J Oper Manag 2004; 22: 151–169.
24. Kobayashi M, Fussell SR, Xiao Y. Work coordination, workflow, and workarounds in a medical context. In: CHI’05 Extended abstracts on human factors in computing systems, 2 April 2005, pp. 1561–1564. ACM.