Samenvatting
Het elektronisch patiëntendossier (EPD) wordt in toernemende mate in de gezondheidszorg gebruikt om de veiligheid en de kwaliteit van de zorg te verbeteren. Optimaal gebruik door verpleegkundigen en clinici is nog steeds niet gerealiseerd ondanks sneller geworden computers, toegenomen verbetering van de software en aan verbetering van rapportage die steeds meer aan de door de professie gestelde specificaties en kwaliteitseisen voldoet. Voor een in de klinische praktijk geïntegreerd gebruik van het EPD wordt in het algemeen een goede ‘fit’ vereist tussen tijdsefficiency en een rapportage die optimaal aansluit op de behoefte in de klinische praktijk.
Literatuur
Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The Impact of Electronic Health Records on Time Efficiency of Physicians and Nurses: A Systematic Review. J Am Medl Inform Assoc 2005; 12:505-516
Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, Volk L, et al. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc 2003; 10:523-530.
Kuhn KA, Giuse DA. From hospital information systems to health information systems-problems, challenges, perspectives. Yearbook Med Inform 2001; 63-76.
LaDuke S. Online nursing documentation: finding a middle ground. J Nurs Adm 2001; 31:283-286.
Bradshaw KE, Sittig DF, Gardner RM, Pryor TA, Budd M. Computer- based data entry for nurses in the ICU. MD Comput 1989; 6:274-280.
Brown SJ, Cioffi MA, Schinella P, Shaw A. Evaluation of the impact of a bedside terminal system in a rapidly changing community hospital. Comput Nurs 1995; 13:280-284.
Menke JA, Broner CW, Campbell DY, McKissick MY, Edwards- Beckett JA. Computerized clinical documentation system in the pediatric intensive care unit. BMC Med Inform Decis Making 2001; 1:3.
Pabst MK, Scherubel JC, Minnick AF. The impact of computerized documentation on nurses’ use of time. Comput Nurs 1996; 14:25-30.
Burkle T, Kuch R, Passian A, Prokosch U, Dudeck J. The impact of computer implementation on nursing work patterns: study design and preliminary results. Medinfo 1995; 8:1321-1325.
Leung GM, Yu PL, Wong IO, Johnston JM, Tin KY. Incentives and barriers that influence clinical computerization in Hong Kong: a population-based physician survey. J Am Med Inform Assoc 2003; 10:201-212.
Allan J, Englebright J. Patient-centered documentation: an effective and efficient use of clinical information systems. J Nurs Adm 2000; 30:90-95.
Lee F, Teich JM, Spurr CD, Bates DW. Implementation of physician order entry: user satisfaction and self-reported usage patterns. J Am Med Inform Assoc 1996; 3:42-55.
Lau F, Penn A, Wilson D, Noseworthy T, Vincent D, Doze S. The diffusion of an evidence-based disease guidance system for managing stroke. Int J Med Inf 1998; 51:107-116.
Tierney WM, Miller ME, Overhage JM, McDonald CJ. Physician inpatient order writing on microcomputer workstations. Effects on resource utilization. JAMA 1993; 269:379-383.
Tierney WM, Overhage JM, McDonald CJ, Wolinsky FD. Medical students’ and housestaff’s opinions of computerized orderwriting. Acad Med 1994; 69:386-389.
Campbell D, Stanley J. Experimental and quasi-experimental research design. Chicago: Rand McNally; 1963.
Bosman RJ, Rood E, Oudemans-Van Straaten HM, van der Spoel JI, Wester JP, Zandstra DF. Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery. Intensive Care Med 2003; 29:83-90.
Pierpont GL, Thilgen D. Effect of computerized charting on nursing activity in intensive care. Crit Care Med 1995; 23:1067-1073.
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Middel, B. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review1) . NTEB 6, 14–16 (2008). https://doi.org/10.1007/BF03077155
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DOI: https://doi.org/10.1007/BF03077155