title: Cognitive factors influencing perceptions of clinical documentation tools.
abstract: Identifying healthcare providers' perceptions of clinical documentation methods can inform the design of computer-based documentation tools. The authors investigated the cognitive factors underlying such perceptions by performing a qualitative analysis that included open-ended in-depth interviews of a convenience sample of healthcare providers who use a variety of documentation methods. A total of 16 providers participated in the study; subjects included physicians and nurse practitioners from medical and surgical specialties who used paper- and computer-based documentation tools. Based on interview data, authors identified five factors that influenced satisfaction with clinical documentation tools: document system time efficiency, availability, expressivity, structure, and quality. These factors, if validated by subsequent investigations, can be used to develop a formal conceptual model of providers' perceptions of their satisfaction with various documentation systems.
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232-8340, USA. trent.rosenbloom@vanderbilt.edu
authors.forename: S Trent
authors.initials: ST
authors.lastname: Rosenbloom
authors.forename: Adrienne N
authors.initials: AN
authors.lastname: Crow
authors.forename: Jennifer Urbano
authors.initials: JU
authors.lastname: Blackford
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Johnson
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003258:Consumer Behavior; D004282:Documentation / Q000379:methods*; D005260:Female; D006801:Humans; D016247:Information Storage and Retrieval; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D011361:Professional Competence; D012984:Software; D011795:Surveys and Questionnaires