TY - GEN
T1 - Clinical Documentation as End-User Programming
AU - Rule, Adam
AU - Goldstein, Isaac H.
AU - Chiang, Michael F.
AU - Hribar, Michelle R.
N1 - Publisher Copyright:
© 2020 ACM.
PY - 2020/4/21
Y1 - 2020/4/21
N2 - As healthcare providers have transitioned from paper to electronic health records they have gained access to increasingly sophisticated documentation aids such as custom note templates. However, little is known about how providers use these aids. To address this gap, we examine how 48 ophthalmologists and their staff create and use content-importing phrases A- a customizable and composable form of note template A- to document office visits across two years. In this case study, we find 1) content-importing phrases were used to document the vast majority of visits (95%), 2) most content imported by these phrases was structured data imported by data-links rather than boilerplate text, and 3) providers primarily used phrases they had created while staff largely used phrases created by other people. We conclude by discussing how framing clinical documentation as end-user programming can inform the design of electronic health records and other documentation systems mixing data and narrative text.
AB - As healthcare providers have transitioned from paper to electronic health records they have gained access to increasingly sophisticated documentation aids such as custom note templates. However, little is known about how providers use these aids. To address this gap, we examine how 48 ophthalmologists and their staff create and use content-importing phrases A- a customizable and composable form of note template A- to document office visits across two years. In this case study, we find 1) content-importing phrases were used to document the vast majority of visits (95%), 2) most content imported by these phrases was structured data imported by data-links rather than boilerplate text, and 3) providers primarily used phrases they had created while staff largely used phrases created by other people. We conclude by discussing how framing clinical documentation as end-user programming can inform the design of electronic health records and other documentation systems mixing data and narrative text.
KW - electronic health record
KW - end-user programming
KW - text input
UR - http://www.scopus.com/inward/record.url?scp=85091272177&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85091272177&partnerID=8YFLogxK
U2 - 10.1145/3313831.3376205
DO - 10.1145/3313831.3376205
M3 - Conference contribution
AN - SCOPUS:85091272177
T3 - Conference on Human Factors in Computing Systems - Proceedings
BT - CHI 2020 - Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
PB - Association for Computing Machinery
T2 - 2020 ACM CHI Conference on Human Factors in Computing Systems, CHI 2020
Y2 - 25 April 2020 through 30 April 2020
ER -