title: Design and implementation of an inpatient physician documentation system using off-the-shelf components.
abstract: We report the development and implementation of an electronic inpatient physician documentation system using off-the-shelf components, rapidly and at low cost. Within 9 months of deployment, over half of physician notes were electronic, and within 20 months, paper physician notes were eliminated. Our results suggest institutions can prioritize conversion to inpatient electronic physician documentation without waiting for development of sophisticated software packages or large capital investments.
authors.affiliation: Department of Medicine,University of California, San Francisco,CA, USA.
authors.forename: Russell J
authors.initials: RJ
authors.lastname: Cucina
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Bokser
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Carter
authors.forename: Kevin M
authors.initials: KM
authors.lastname: McLaren
authors.forename: Michael S
authors.initials: MS
authors.lastname: Blum
mesh_terms: D000046:Academic Medical Centers; D004282:Documentation / Q000379:methods; D006751:Hospital Information Systems; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D009936:Organizational Innovation; D012495:San Francisco