1. Evaluation of vocal-electronic nursing documentation: A comparison study in Iran.
- Author
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Mohammadi Firouzeh, Mona, Jafarjalal, Ezzat, Emamzadeh Ghasemi, Hormat Sadat, Bahrani, Naser, and Sardashti, Sara
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DOCUMENTATION , *MEDICAL care , *NURSING , *ELECTRONIC health records , *AGE distribution , *AUTOMATIC speech recognition , *COMPARATIVE studies , *RESEARCH methodology , *MEDICAL quality control , *MEDICAL cooperation , *NURSING records , *RESEARCH , *SEX distribution , *USER interfaces , *SOCIOECONOMIC factors , *EVALUATION research , *CROSS-sectional method , *RETROSPECTIVE studies - Abstract
Aim: Documentation is a critical element in the function of the nursing team, and cannot be separated from high-quality, patient-centered care. The aim of this study was to compare the quality of nursing documentation in electronic and paper-based systems.Method: A retrospective descriptive study was designed to compare the quality of nursing documentation in electronic health records (EHR) versus paper-based documentation systems before and after the application of the electronic system.Results: Analysis of data found a significant difference in the quality of nursing documentation in the two hospitals both before and after the implementation of an EHR system (p < 0.001).Quality of nursing documentation in the electronic system was significantly better than that of paper-based documentation systems.Conclusion: Vocal-electronic systems help to improve quality of nursing documentation, suggesting this aspect may be essential to implementing a successful system in local settings. [ABSTRACT FROM AUTHOR]- Published
- 2017
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