Abstract:
:The aim of this study was to investigate the use of electronic patient records in daily practice. In four wards of a large hospital district in Finland, N = 43 patients' care and activities were observed and analysed in terms of the Grounded Theory method. The findings revealed that using electronic patient records created a particular process of writing and reading. Wireless technology enabled simultaneous patient involvement and point-of-care documentation, additionally supporting real-time reading. Remote and retrospective documentation was distant in terms of both space and time. The remoteness caused double documentation, reduced accuracy and less-efficient use of time. 'Non-reading' practices were witnessed in retrospective reading, causing delays in patient care and increase in workload. Similarly, if documentation was insufficient or non-existent, the consequences were found to be detrimental to the patients. The use of an electronic patient record system has a significant impact on patient care. Therefore, it is crucial to develop wireless technology and interdisciplinary collaboration in order to improve and support high-quality patient care.
journal_name
Health Informatics Jjournal_title
Health informatics journalauthors
Laitinen H,Kaunonen M,Åstedt-Kurki Pdoi
10.1177/1460458213492445subject
Has Abstractpub_date
2014-12-01 00:00:00pages
235-49issue
4eissn
1460-4582issn
1741-2811pii
20/4/235journal_volume
20pub_type
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