title: A system for automated procedure documentation.
abstract: Quantitative information regarding competency in performing procedures is invaluable in attesting to a house officer's abilities when assessments need to be made. Thus, the means by which procedures, proficiency, and experience can be recorded and organized in an automated fashion need not be any further away than the nearest micro-computer. The procedure documenting system (PDS) automates the documenting of procedures and quantitative information pertaining to these procedures, and shortens the time demanded of the house officer to document procedures from a mean of 5.5 to 1.9 min. This paper is a description of the work done to automate the recording of procedures performed by housestaff at a teaching hospital and the acceptance by housestaff. This computer program takes the specific information and places it into a specialized database so that house officers can have detailed documentation attesting to their proficiency in various procedures. In addition, the program director can access the database to document the quantity of procedures to which an individual house officer has attained competence.
authors.affiliation: Brigham & Women's Hospital, Harvard Medical School, Department of Radiology, Boston, MA 02115, USA.
authors.forename: R
authors.initials: R
authors.lastname: Tello
authors.forename: D
authors.initials: D
authors.lastname: Tuck
authors.forename: A
authors.initials: A
authors.lastname: Cosentino
mesh_terms: D001331:Automation; D002983:Clinical Competence; D016494:Computer Security; D003199:Computer Systems; D003628:Database Management Systems; D004282:Documentation / Q000379:methods*; D006751:Hospital Information Systems; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration; D008505:Medical Staff, Hospital / Q000458:organization & administration; D008838:Microcomputers; D010557:Personnel Administration, Hospital; D012984:Software