title: Using adaptive turnaround documents to electronically acquire structured data in clinical settings.
abstract: We developed adaptive turnaround documents (ATDs) to address longstanding challenges inherent in acquiring structured data at the point of care. These computer-generated paper forms both request and receive patient tailored information specifically for electronic storage. In our pilot, we evaluated the usability, accuracy, and user acceptance of an ATD designed to enrich a pediatric preventative care decision support system. The system had an overall digit recognition rate of 98.6% (95% CI: 98.3 to 98.9) and a marksense accuracy of 99.2% (95% CI: 99.1 to 99.3). More importantly, the system reliably extracted all data from 56.6% (95% CI: 53.3 to 59.9) of our pilot forms without the need for a verification step. These results translate to a minimal workflow burden to end users. This suggests that ATDs can serve as an inexpensive, workflow-sensitive means of structured data acquisition in the clinical setting.
authors.affiliation: Regenstrief Institute for Health Care and Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Paul G
authors.initials: PG
authors.lastname: Biondich
authors.forename: Vibha
authors.initials: V
authors.lastname: Anand
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Downs
authors.forename: Clement J
authors.initials: CJ
authors.lastname: McDonald
mesh_terms: D000555:Ambulatory Care Information Systems; D002648:Child; D001330:Electronic Data Processing; D006801:Humans; D008487:Medical History Taking / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data; D010209:Paper; D010865:Pilot Projects; D012984:Software; D014584:User-Computer Interface