The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Clinician preferences for verbal communication compared to EHR documentation in the ICU
Open accessAbstract
Summary: Background: Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information exchange and communication. Objective: We aimed to understand the current patterns and perceptions of communication of common goals in the ICU using the distributed cognition and clinical communication space theoretical frameworks. Methods: We conducted a focus group and 5 interviews with ICU clinicians and observed 59.5 hours of interdisciplinary ICU morning rounds. Results: Clinicians used an EHR system, which included electronic documentation and computerized provider order entry (CPOE), and paper artifacts for documentation; yet, preferred the verbal communication space as a method of information exchange because they perceived that the documentation was often not updated or efficient for information retrieval. These perceptions that the EHR is a “shift behind” may lead to a further reliance on verbal information exchange, which is a valuable clinical communication activity, yet, is subject to information loss. Conclusions: Electronic documentation tools that, in real time, capture information that is currently verbally communicated may increase the effectiveness of communication.
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The 5 EHR components (Flowsheets, MAR, Care Plan, Notes, ADT Navigators) were chosen because they are most frequently used by nurses in acute and critical care units.
“The 5 EHR components were chosen because they are most frequently used by nurses in acute and critical care units.7,30,36,37”
From Electronic health record system use and documentation burden of acute and critical care nurse clinicians: a mixed-methods study (2024) · cites this paper as [37]
The Methods and §4.1 describe nurses using EHR flowsheets and an electronic plan-of-care flowsheet in one neurovascular ICU; §4.2.2 also describes nurses’ electronic notes. The paper does not establish that all five named components—including ADT Navigators—are the most frequently used by nurses across acute and critical care units, or that this frequency was the reason they were chosen. (LLM, conf=0.86)
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Cites
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Flagged first, then by citations
Research works printed but not linked: 2
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Sorted by citations
Cho, H., Nguyen, O. T., Weaver, M., Pruitt, J., Marcelle, C., Salloum, R. G., & Keenan, G. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocae239 · Cited by 55
Metadata
- Authors
- Bakken, S., Vawdrey, D. K., Coiera, E., Currie, L., & Collins, S. A.
- Affiliations
- Columbia University (US)
- UNSW Sydney (AU)
- University of British Columbia (CA)
- Venue
- Applied Clinical Informatics
- Publisher
- Georg Thieme Verlag KG
- Published
- 2011
- Volume
- 02
- Issue
- 02
- Pages
- 190-201
- ISSN
- 1869-0327 (ISSN-L)
- PMC
- PMC3631921
- OpenAlex
- W2096241969
- Cited by
- 34
- References
- 21
- Citations by year
- 2026: 1 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 2 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 3 · 2013: 1
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Clinical Informatics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Nursing Research (T32NR007969)
- Safe and Evidence-based APN Care (D11 HP07346, T15 LM 007079)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Research and Theory › Nursing Diagnosis and Documentation
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Keywords
- clinical communication, electronic health records, verbal communication, computerized physician order entry, distributed cognition, clinician preferences, information sharing, information loss
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