Data acquisition behaviors during inpatient results review: implications for problem-oriented data displays

AMIA Annu Symp Proc. 2006:2006:644-8.

Abstract

Problem-oriented electronic medical records may have significant advantages over source-oriented organization of patient data. However, reorganizing data in this fashion may have unexpected consequences for the clinical decision-making process. To determine what these consequences might be, we conducted a pilot study using verbal protocols and video screen capture to characterize physician subjects' use of a traditional laboratory data display while reviewing unfamiliar inpatient cases. We found that subjects navigated to the laboratory display primarily to seek evidence confirming a result or problem identified elsewhere in the case. Additionally, 22% of the time subjects spontaneously reviewed anomalous findings and results related to other known problems. These results suggest that physicians have learned complex data acquisition behaviors for efficient interaction with source-oriented displays, and further study is needed to ensure that problem-oriented medical records do not lose the benefits of these behaviors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Behavior
  • Case Management
  • Clinical Laboratory Information Systems*
  • Data Display*
  • Humans
  • Information Storage and Retrieval*
  • Inpatients
  • Medical Records Systems, Computerized
  • Medical Records, Problem-Oriented*
  • Physicians / psychology
  • Pilot Projects
  • Software
  • User-Computer Interface