000002823 001__ 2823
000002823 005__ 20250424232757.0
000002823 0247_ $$2DOI$$a10.6083/M4WM1C4T
000002823 037__ $$aETD
000002823 245__ $$aComputerized clinical documentation in the pediatric intensive care unit: quality of notes and factors that affect the quality
000002823 260__ $$bOregon Health and Science University
000002823 269__ $$a2014
000002823 336__ $$aCapstone
000002823 502__ $$bM.B.I.
000002823 502__ $$gBiomedical Informatics
000002823 520__ $$aClinical documentation is an essential aspect of the patient-clinician encounter and serves many purposes. With the increasing use of electronic health records, computerized clinical documentation will soon become ubiquitous. It is one of the means of communication between healthcare providers. Ensuring good quality documentation is crucial to good patient care. The intensive care unit is a complex, dynamic environment and large amounts of data are generated daily for each patient. Good documentation becomes challenging in this situation. The quality of documentation in the intensive care unit has not been studied. In this project the overall quality of computerized clinical documentation in a pediatric intensive care unit was evaluated; documents were also rated based on individual components of quality. Certain factors that may affect the quality of the notes were also studied.
000002823 540__ $$fCC BY
000002823 542__ $$fIn copyright - single owner
000002823 650__ $$aElectronic Health Records$$038928
000002823 650__ $$aIntensive Care Units$$020904
000002823 650__ $$aDocumentation$$018012
000002823 650__ $$aHealth Personnel$$019889
000002823 650__ $$aPatient Care$$019442
000002823 650__ $$aCommunication$$016935
000002823 650__ $$aIntensive Care Units, Pediatric$$028283
000002823 691__ $$aSchool of Medicine$$041369
000002823 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422
000002823 7001_ $$aDaphtary, Kshama$$uOregon Health and Science University$$041354
000002823 7201_ $$aChiang, Michael$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000002823 8564_ $$9bf320216-ace8-48fc-af2f-b2878ed94c2c$$s321225$$uhttps://digitalcollections.ohsu.edu/record/2823/files/3591_etd.pdf$$ePublic$$20b3eec7949512066a66bbb030737c09c$$31
000002823 905__ $$a/rest/prod/4f/16/c3/09/4f16c309z
000002823 909CO $$ooai:digitalcollections.ohsu.edu:2823$$pstudent-work
000002823 980__ $$aBiomedical Informatics