1. Evaluating the barriers to point-of-care documentation for nursing staff.
- Author
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Kohle-Ersher A, Chatterjee P, Osmanbeyoglu HU, Hochheiser H, and Bartos C
- Subjects
- Adult, Aged, Female, Health Insurance Portability and Accountability Act, Humans, Male, Middle Aged, Nursing Evaluation Research, Nursing Methodology Research, Qualitative Research, United States, Workflow, Young Adult, Attitude of Health Personnel, Electronic Health Records statistics & numerical data, Nursing Records, Nursing Staff, Hospital psychology, Point-of-Care Systems statistics & numerical data
- Abstract
Point-of-care documentation has been identified as a patient safety measure for improving accuracy and timeliness of data. To evaluate the barriers that nurses and nurse aide/clinical technicians encounter for electronic point-of-care documentation, we conducted surveys on a telemetry unit at a southwestern Pennsylvania community hospital. Our first survey revealed that the location of the in-room computers, perceived lack of in-room computer reliability, Health Insurance Portability and Accountability Act/privacy concerns, and perceptions of the patients' response to charting on computers in patient rooms were all barriers to point-of-care documentation. Our second survey revealed that workflow priority issues were also a barrier to point-of-care documentation, as staff members did not rate documentation as a high priority in terms of delivering timely medical care. Changes in both nursing practices and hospital infrastructure may be needed if these barriers to point-of-care documentation are to be overcome.
- Published
- 2012
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