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A human centered design approach to define and measure documentation quality using an EHR virtual simulation — Europe PMC PMID:39159187

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/39159187
DOI: 10.1371/journal.pone.0308992
License (as archived): CC0-1.0
Archived: 2026-10-06T15:36:27.216Z
SHA-256 of the archived text: 86f09e15a36280945b52b53b6f4b80fb3d20914c05ca24a24a7b610275d81600
Stable URL of this page: https://metraipolis.com/documento/dc_e73baeb4e533

How to cite

A human centered design approach to define and measure documentation quality using an EHR virtual simulation — Europe PMC PMID:39159187 — Europe PMC (en), https://europepmc.org/article/MED/39159187 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_e73baeb4e533 (Metraipolis archive dc_e73baeb4e533, sha256 86f09e15a36280945b52b53b6f4b80fb3d20914c05ca24a24a7b610275d81600)

BibTeX

@misc{dce73baeb4e533,
  title = {A human centered design approach to define and measure documentation quality using an EHR virtual simulation — Europe PMC PMID:39159187},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/39159187},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_e73baeb4e533; sha256 86f09e15a36280945b52b53b6f4b80fb3d20914c05ca24a24a7b610275d81600},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/39159187. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Electronic health record (EHR) documentation serves multiple functions, including recording patient health status, enabling interprofessional communication, supporting billing, and providing data to support the quality infrastructure of a Learning Healthcare System. There is no definition and standardized method to assess documentation quality in EHRs. Using a human-centered design (HCD) approach, we define and describe a method to measure documentation quality. Documentation quality was defined as timely, accurate, user-centered, and efficient. Measurement of quality used a virtual simulated standardized patient visit via an EHR vendor platform. By observing and recording documentation efforts, nurse practitioners (NPs) (N = 12) documented the delivery of an Age-Friendly Health System (AFHS) 4Ms (what Matters, Medication, Mentation, and Mobility) clinic visit using a standardized case. Results for timely documentation indicated considerable variability in completion times of documenting the 4Ms. Accuracy varied, as there were many types of episodes of erroneous documentation and extra time in seconds in documenting the 4Ms. The type and frequency of erroneous documentation efforts were related to navigation burden when navigating to different documentation tabs. The evaluated system demonstrated poor usability, with most participants scoring between 60 and 70 on the System Usability Scale (SUS). Efficiency, measured as click burden (the number of clicks used to navigate through a software system), revealed significant variability in the number of clicks required, with the NPs averaging approximately 13 clicks above the minimum requirement. The HCD methodology used in this study to assess the documentation quality proved feasible and provided valuable information on the quality of documentation. By assessing the quality of documentation, the gathered data can be leveraged to enhance documentation, optimize user experience, and elevate the quality of data within a Learning Healthcare System.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: PloS one, 2024 (prima pubblicazione 2024-08-19).
Identificativi: PMID 39159187 · PMCID PMC11332943 · DOI 10.1371/journal.pone.0308992.
Descrittori MeSH principali: Documentation; Electronic Health Records.
Pagina: https://europepmc.org/article/MED/39159187 — https://doi.org/10.1371/journal.pone.0308992. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
Letto il 2026-10-06T15:12:56.392Z tramite l'API REST ufficiale di Europe PMC (EMBL-EBI), nel rispetto del robots.txt e del crawl-delay.