A generic method to monitor completeness and speed of medical documentation processes.
Background: Physicians dedicate approximately a quarter of daily work to documentation. Completeness and speed of medical documentation processes are important parameters, because they can affect quality of healthcare.Objectives: A generic method to monitor these quality parameters is proposed and i...
| Publicado en: | Methods of Information in Medicine Vol. 51; no. 2; pp. 252 - 258 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Thieme Medical Publishing Inc.
2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108187834&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108187834 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00261270 W7M jtl: Methods of Information in Medicine issn: 00261270 maglogo: N pubinfo: dt: 2012 vid: 51 iid: 2 pid: 2811 pub: Thieme Medical Publishing Inc. place: New York, New York artinfo: ui: 108187834 108187834 NLM21915436 2011548088 10.3414/ME09-01-0085 NLM21915436 108187834 ppf: 252 ppct: 6 formats: tig: atl: A generic method to monitor completeness and speed of medical documentation processes. aug: au: Dugas M Dugas-Breit S Dugas, M Dugas-Breit, S affil: Institute of Medical Informatics, University of Münster, Domagkstr. 9, 48149 Münster, Germany sug: subj: Documentation Methods Organizational Efficiency Patient Record Systems Equipment and Supplies Productivity Human Medical Informatics Patient Discharge Quality of Health Care Statistics Task Performance and Analysis Time ab: Background: Physicians dedicate approximately a quarter of daily work to documentation. Completeness and speed of medical documentation processes are important parameters, because they can affect quality of healthcare.Objectives: A generic method to monitor these quality parameters is proposed and its utility is demonstrated in two examples.Methods: Based on a generic event-driven process chain of a medical documentation process, completeness functions for created and finalized documents (available versus required documents by time) are defined. The 95%-quantile of process time is applied as performance indicator of documentation speed. A plotting function for these parameters is provided: completeness and speed of medical documentation (CSMD)-plot. Open source code and a sample data set are available in the Supplement.Results: This methodology is applied to analyze the effect of an electronic dictation system on discharge letter documents. CSMD-plot detects significant differences regarding speed and completeness of the process before and after implementation of electronic dictation; in addition, it pinpoints differences regarding these quality parameters in documentation processes between different clinical departments. In a second example, CSMD-plot is used to analyze follow-up documentation of a clinical trial. Due to its generic design, CSMD-plots can be applied to other medical documentation processes such as order-entry processes.Conclusions: Monitoring of completeness and speed of medical documentation is feasible and can provide quantitative information on these processes. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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