Conference proceeding
Scaffolding Physician Communication through a Daily Progress Note Redesign
2011 IEEE SYSTEMS AND INFORMATION ENGINEERING DESIGN SYMPOSIUM (SIEDS), pp.18-23
01 Jan 2011
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Abstract
This paper explores the design of the daily progress note, a medical document written daily to record a patient's current status and clinical changes. The progress note is traditionally composed of four sections: subjective, objective, assessment and plan. At the start of this study, the original structure of the progress note did not mirror the verbal communication that takes place between physicians as they focus on the assessment and plan. Subject matter experts hypothesize that less experienced physicians find the subjective and objective sections of the note easiest to write and subsequently emphasize and spend more time filling out these sections. This study redesigned the structure of the progress note to prioritize the assessment and management plan as supported by the objective and subjective. This work was tested by the Division of Cardiology in the Department of Pediatrics at the University of Virginia. The redesigned note was evaluated using a data entry and presentation comparison as well as a simulated handoff. The results show that the progress notes are presented by reading the information from the top down and thus, the layout of the note should follow (and prompt) the desired flow of communication. Also, the use of prompts and more specific fields helps scaffold the documentation to better facilitate the verbal communication about patients between physicians.
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Details
- Title
- Scaffolding Physician Communication through a Daily Progress Note Redesign
- Creators
- Catherine M. Burke - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USACarlos R. Ceballos - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USARaymond D. Chaudoin - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USAJillian C. Mezzanotte - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USAEllen A. Minzenmayer - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USAEllen J. Bass - Univ Virginia, Dept Syst & Informat Engn, Sch Engn & Appl Sci, Charlottesville, VA 22904 USAShawn C. West - Univ Virginia, Sch Med, Dept Pediat, Div Cardiol, Charlottesville, VA 22903 USATracey R. Hoke - Univ Virginia, Sch Med, Dept Pediat, Div Cardiol, Charlottesville, VA 22903 USA
- Contributors
- K A Neeley (Editor)
- Publication Details
- 2011 IEEE SYSTEMS AND INFORMATION ENGINEERING DESIGN SYMPOSIUM (SIEDS), pp.18-23
- Conference
- 2011 IEEE SYSTEMS AND INFORMATION ENGINEERING DESIGN SYMPOSIUM (SIEDS)
- Publisher
- IEEE
- Number of pages
- 6
- Grant note
- Department of Pediatrics at the University of Virginia Division of Cardiology in the Department of Pediatrics in the School of Medicine at the University of Virginia
- Resource Type
- Conference proceeding
- Language
- English
- Academic Unit
- Information Science (Informatics)
- Identifiers
- 991019292223204721
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