[HTML][HTML] The Implementation of an Electronic Medical Record in a German Hospital and the Change in Completeness of Documentation: Longitudinal Document …

F Wurster, M Beckmann, N Cecon-Stabel… - JMIR Medical …, 2024 - medinform.jmir.org
… aims to compare the completeness of documentation in paper-based medical records and
EMRs and to discuss the possible impact of an EMR on the completeness of documentation. …

[PDF][PDF] REPORTS OF ORIGINAL INVESTIGATIONS

KE Edwards, SM Hagen, J Hannam… - Can J Anesth/J Can …, 2013 - researchgate.net
anesthetic records (including the one formerly in use in our institution) have been carefully
designed to facilitate the complete … , the AIMS records contained more complete intraoperative …

Education for Registered Nurses Completing Preoperative Anesthesia Interviews: A Quality Improvement Project

S Dowd, JA Thompson, JA Pearson, S Pinero… - Journal of …, 2023 - Elsevier
… was reported using descriptive statistics (n, %) for complete, partially complete, or incomplete
documentation on each interview component. The overall mean percentage of completed …

Perioperative Documentation and Data Standards–Anesthesiology Owned and Operated

UB Padakandla, VN O'Reilly-Shah, KA Poterack… - ASA Monitor, 2018 - pubs.asahq.org
… to electronic perioperative care documentation, including the anesthesia record, have been
… all of the elements required to complete documentation that communicates the clinical care …

The role of documents and documentation in communication failure across the perioperative pathway. A literature review

S Braaf, E Manias, R Riley - International journal of nursing studies, 2011 - Elsevier
… The medical records of 211 adult patients following major surgery in 5 Australian hospitals
records had complete documentation of vital signs and medical and nursing reviews 84% a …

Quality improvement using automated data sources: the anesthesia quality institute

RP Dutton, A DuKatz - Anesthesiology clinics, 2011 - anesthesiology.theclinics.com
… once a month and never gain complete comfort using the system. This … this anesthetic
ontology (in simplistic terms, an electronic representation of the perioperative and anesthetic record

[HTML][HTML] A Closed-Loop Clinical Audit of Surgical Documentation of Inpatient Records at a Tertiary Level Hospital in Egypt

AG Hassan, EO Elqaffas, AM Elbouridy, MM Shawky… - Cureus, 2023 - ncbi.nlm.nih.gov
… in the anesthetic record and operative record domains which … Accurate and complete records
can be shared among different … Furthermore, maintaining a complete record serves as a …

[HTML][HTML] Impact of data entry interface design on cognitive workload, documentation correctness, and documentation efficiency

BA Wilbanks, JA Moss - AMIA Summits on Translational Science …, 2021 - ncbi.nlm.nih.gov
… of mouse clicks required to complete documentation increased cognitive workload. Data …
assisted data entry methods to document anesthesia documentation data elements. Additionally…

Ergonomics applied to anaesthesia record keeping

W Friesdorf, S Konichezky, F Gross-Alltag… - International journal of …, 1993 - Springer
record systems really proved to be better (completeness and reliability) than handwritten
documentation… Spatial organization of a computerassisted anesthetic record. In: Gravenstein JS, …

[图书][B] The Evaluation of Medical Records Documentation and Surgical Summary Database at Nork'Marash Medical Center

A Oksuzyan, A Demirchyan, M Thompson - 2001 - aua.am
… The aim of this project was to investigate the accuracy and completeness of medical records
… In conclusion, the study confirmed that the accuracy and completeness of medical records