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Physician-driven management of patient progress notes in an intensive care unit

Published: 10 April 2010 Publication History

Abstract

We describe fieldwork in which we studied hospital ICU physicians and their strategies and documentation aids for composing patient progress notes. We then present a clinical documentation prototype, activeNotes, that supports the creation of these notes, using techniques designed based on our fieldwork. ActiveNotes integrates automated, context-sensitive patient data retrieval, and user control of automated data updates and alerts via tagging, into the documentation process. We performed a qualitative study of activeNotes with 15 physicians at the hospital to explore the utility of our information retrieval and tagging techniques. The physicians indicated their desire to use tags for a number of purposes, some of them extensions to what we intended, and others new to us and unexplored in other systems of which we are aware. We discuss the physicians' responses to our prototype and distill several of their proposed uses of tags: to assist in note content management, communication with other clinicians, and care delivery.

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cover image ACM Conferences
CHI '10: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
April 2010
2690 pages
ISBN:9781605589299
DOI:10.1145/1753326
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Published: 10 April 2010

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Author Tags

  1. input
  2. interaction techniques
  3. medical user interfaces
  4. user interface

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  • (2024)Investigating Why Clinicians Deviate from Standards of Care: Liberating Patients from Mechanical Ventilation in the ICUProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3641982(1-15)Online publication date: 11-May-2024
  • (2024)Sketching AI Concepts with Capabilities and Examples: AI Innovation in the Intensive Care UnitProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3641896(1-18)Online publication date: 11-May-2024
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  • (2023) ChartWalk : Navigating large collections of text notes in electronic health records for clinical chart review IEEE Transactions on Visualization and Computer Graphics10.1109/TVCG.2022.320944429:1(1244-1254)Online publication date: Jan-2023
  • (2023)Patient Dashboards of Electronic Health Record Data to Support Clinical Care: A Systematic Review2023 IEEE 11th International Conference on Healthcare Informatics (ICHI)10.1109/ICHI57859.2023.00060(407-419)Online publication date: 26-Jun-2023
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  • (2020)Clinical Documentation as End-User ProgrammingProceedings of the 2020 CHI Conference on Human Factors in Computing Systems10.1145/3313831.3376205(1-13)Online publication date: 21-Apr-2020
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