Effect of implementation of a coded problem list entry subsystem

Chia Chang Chen, Chung Hsin Chang, Yen Chun Peng, Sek Kwong Poon, Shih Che Huang, Yu Chuan Jack Li

研究成果: 雜誌貢獻文章

1 引文 斯高帕斯(Scopus)

摘要

Objectives Complete patient problem lists may improve the quality of care. To improve the completeness of the lists at our institution, we implemented the coded problem list entry subsystem (CPLES) in our electronic medical record system. Subsequently, physicians used the CPLES instead of handwritten notes to document coded problem lists and progress notes. We evaluated the effect of implementing the CPLES on the completeness of problem lists. Methods We compared the completeness of coded problem lists input after CPLES implementation with that of problem lists handwritten before CPLES implementation and determined the differences. Moreover, the efficiency and usability of the CPLES were evaluated. Results The efficiency and usability of CPLES were acceptable. However, the completeness of problem lists was reduced after CPLES implementation. The possible reasons for this reduction, namely system usability, efficacy, incentives, leadership, and education, were crucial for successful CPLES implementation and are discussed in the text. Conclusion CPLES implementation reduced the completeness of problem lists. Institutions may learn from our experience and carefully implement their own coded problem list systems to avoid this consequence.
原文英語
頁(從 - 到)1-9
頁數9
期刊Computer Methods and Programs in Biomedicine
134
DOIs
出版狀態已發佈 - 十月 1 2016

ASJC Scopus subject areas

  • Computer Science Applications
  • Software
  • Health Informatics

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