COMPUTER BASED DOCUMENTATION AND PROVIDER INTERACTION
基于计算机的文档和提供商交互
基本信息
- 批准号:6054398
- 负责人:
- 金额:$ 8.2万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1999
- 资助国家:美国
- 起止时间:1999-09-30 至 2000-09-29
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Programs for on-line documentation have become a popular addition to computer-based patient records. Most of these tools use personal computers and on-screen forms to construct a patient visit note. In a pediatric primary care or family practice setting, these programs potentially can improve compliance with age-appropriate screening, developmental testing, and immunization delivery guidelines. The computer also may remind the provider about issues to address and will help ensure complete documentation. However, computer-based documentation (CBD) may distract the provider, the patient, or the parent. Computers might cause parents to feel distanced from providers who focus attention on the computer to enter data. Computers might result in more time being spent completing documentation. Unfortunately, there are no controlled studies that have evaluated the effect of CBD on the quality of the health- maintenance encounter in a primary care practice setting. The aim of this project is to evaluate how using online documentation tools based on age-specific encounter guidelines for pediatric health-maintenance visits affects the quality of the encounter, as measured by the number of psychosocial and anticipatory guidance issues addressed during a visit, the parent and provider satisfaction with the encounter, and the duration of the encounter. These results will be evaluated with respect to different patterns of documenting the encounter (during the visit, after the visit, at the end of the clinic session.) The study utilizes a pre and post intervention design. The control group consists of encounters with families seen before the implementation of CBD. The intervention group consists of encounters that occurred two years later-1 year after the implementation of CBD. The study includes children under the age of 18 months, being seen for "well-child care." Each encounter is audiotaped. At the conclusion of the encounter, both the provider and the family are asked to complete an exit survey that assesses their satisfaction with the encounter. Providers also are asked to describe how they used CBD during this visit, and to assess how useful the electronic template was for this patient encounter. Data about the encounter's content and the provider's communication style will be obtained through an analysis of the audiotapes using a tool called the Roter Interactional Analysis System, which provides a reliable and valid analysis of patient, provider, computer interaction. Patient and provider satisfaction data will be derived from analysis of the exit survey.
在线文档程序已经成为基于计算机的病历的流行补充。 这些工具中的大多数使用个人计算机和屏幕上的表格来构建患者访视记录。 在儿科初级保健或家庭实践环境中,这些计划可能会提高与年龄相适应的筛查,发育测试和免疫接种指南的依从性。 计算机还可以提醒提供者要解决的问题,并有助于确保完整的文件。 然而,基于计算机的文档(CBD)可能会分散提供者,患者或父母的注意力。计算机可能会使父母感到与那些把注意力集中在计算机上输入数据的提供者疏远。 计算机可能会导致花费更多时间完成文档。不幸的是,没有对照研究评估CBD对初级保健实践环境中健康维护质量的影响。本项目的目的是评估如何使用在线文档工具的基础上,特定年龄的遭遇儿科健康维护访问的指南影响的质量的遭遇,作为衡量访问期间解决的心理和预期的指导问题的数量,家长和供应商的满意度的遭遇,和遭遇的持续时间。 将根据记录就诊的不同模式(访视期间、访视后、门诊结束时)对这些结果进行评价。该研究采用干预前和干预后设计。 对照组包括与实施CBD之前见过的家庭的接触。 干预组包括两年后发生的遭遇-CBD实施后1年。 这项研究包括18个月以下的儿童,他们被视为“良好的儿童护理”。“每一次遭遇都被录音。 在会面结束时,提供者和家庭都被要求完成一项退出调查,评估他们对会面的满意度。 提供者还被要求描述他们在这次访问期间如何使用CBD,并评估电子模板对这次患者遭遇的有用程度。有关遭遇的内容和提供者的沟通风格的数据将通过使用称为Roter Intermittent分析系统的工具对录音带进行分析来获得,该系统提供了对患者,提供者,计算机交互的可靠和有效的分析。 患者和供应商的满意度数据将从退出调查的分析中得出。
项目成果
期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Computer-based documentation: effect on parent and physician satisfaction during a pediatric health maintenance encounter.
基于计算机的文档:在儿科健康维护过程中对家长和医生满意度的影响。
- DOI:10.1001/archpedi.159.3.250
- 发表时间:2005
- 期刊:
- 影响因子:0
- 作者:Johnson,KevinB;Serwint,JanetR;Fagan,LawrenceM;Thompson,RichardE;Wilson,ModenaH
- 通讯作者:Wilson,ModenaH
Computer-based documentation: effects on parent-provider communication during pediatric health maintenance encounters.
基于计算机的记录:儿科健康维护过程中对家长与提供者沟通的影响。
- DOI:10.1542/peds.2007-3005
- 发表时间:2008
- 期刊:
- 影响因子:8
- 作者:Johnson,KevinB;Serwint,JanetR;Fagan,LawrenceA;Thompson,RichardE;Wilson,ModenaEH;Roter,Debra
- 通讯作者:Roter,Debra
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KEVIN B. JOHNSON其他文献
KEVIN B. JOHNSON的其他文献
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{{ truncateString('KEVIN B. JOHNSON', 18)}}的其他基金
Helping Doctors Doctor: Using AI to Automate Documentation and "De-Autonomate" Health Care
帮助医生医生:使用人工智能实现文档自动化和医疗保健“去自动化”
- 批准号:
10701364 - 财政年份:2023
- 资助金额:
$ 8.2万 - 项目类别:
My MediHealth: A Paradigm for Children-centered Medication Management
My MediHealth:以儿童为中心的药物管理范例
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8111674 - 财政年份:2009
- 资助金额:
$ 8.2万 - 项目类别:
My MediHealth: A Paradigm for Children-centered Medication Management
My MediHealth:以儿童为中心的药物管理范例
- 批准号:
7940992 - 财政年份:2009
- 资助金额:
$ 8.2万 - 项目类别:
STEPStools: Developing Web Services for Safe Pediatric Dosing
STEPStools:开发用于安全儿科给药的 Web 服务
- 批准号:
7669198 - 财政年份:2007
- 资助金额:
$ 8.2万 - 项目类别:
STEPStools: Developing Web Services for Safe Pediatric Dosing
STEPStools:开发用于安全儿科给药的 Web 服务
- 批准号:
7360166 - 财政年份:2007
- 资助金额:
$ 8.2万 - 项目类别:
STEPStools: Developing Web Services for Safe Pediatric Dosing
STEPStools:开发用于安全儿科给药的 Web 服务
- 批准号:
7496976 - 财政年份:2007
- 资助金额:
$ 8.2万 - 项目类别:
Show Your Work: Do Prescripition Annotations Impact Near Miss Medication Errors?
展示您的作品:处方注释会影响未遂用药错误吗?
- 批准号:
7106089 - 财政年份:2006
- 资助金额:
$ 8.2万 - 项目类别:
Electronic Prescribing--Medication Errors in Pediatrics
电子处方——儿科用药错误
- 批准号:
6528343 - 财政年份:2001
- 资助金额:
$ 8.2万 - 项目类别:
Electronic Prescribing--Medication Errors in Pediatrics
电子处方——儿科用药错误
- 批准号:
6658032 - 财政年份:2001
- 资助金额:
$ 8.2万 - 项目类别:
Impact of Electronic Prescribing on Medication Errors A*
电子处方对用药错误的影响 A*
- 批准号:
6448827 - 财政年份:2001
- 资助金额:
$ 8.2万 - 项目类别:
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