Electronic Documentation in Pediatrics : The Rationale and Functionality Requirements
Copyright © 2020 by the American Academy of Pediatrics..
Clinical documentation has dramatically changed since the implementation and use of electronic health records and electronic provider documentation. The purpose of this report is to review these changes and promote the development of standards and best practices for electronic documentation for pediatric patients. In this report, we evaluate the unique aspects of clinical documentation for pediatric care, including specialized information needs and stakeholders specific to the care of children. Additionally, we explore new models of documentation, such as shared documentation, in which patients may be both authors and consumers, and among care teams while still maintaining the ability to clearly define care and services provided to patients in a given day or encounter. Finally, we describe alternative documentation techniques and newer technologies that could improve provider efficiency and the reuse of clinical data.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:146 |
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| Enthalten in: |
Pediatrics - 146(2020), 1 vom: 21. Juli, Seite 0 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
O'Donnell, Heather C [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 31.08.2020 Date Revised 31.08.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1542/peds.2020-1684 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM311791956 |
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| 245 | 1 | 0 | |a Electronic Documentation in Pediatrics |b The Rationale and Functionality Requirements |
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| 500 | |a Date Revised 31.08.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 by the American Academy of Pediatrics. | ||
| 520 | |a Clinical documentation has dramatically changed since the implementation and use of electronic health records and electronic provider documentation. The purpose of this report is to review these changes and promote the development of standards and best practices for electronic documentation for pediatric patients. In this report, we evaluate the unique aspects of clinical documentation for pediatric care, including specialized information needs and stakeholders specific to the care of children. Additionally, we explore new models of documentation, such as shared documentation, in which patients may be both authors and consumers, and among care teams while still maintaining the ability to clearly define care and services provided to patients in a given day or encounter. Finally, we describe alternative documentation techniques and newer technologies that could improve provider efficiency and the reuse of clinical data | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Technical Report | |
| 700 | 1 | |a Suresh, Srinivasan |e verfasserin |4 aut | |
| 700 | 0 | |a COUNCIL ON CLINICAL INFORMATION TECHNOLOGY |e verfasserin |4 aut | |
| 700 | 1 | |a Webber, Emily Chui |e investigator |4 oth | |
| 700 | 1 | |a Alexander, Gregg M |e investigator |4 oth | |
| 700 | 1 | |a Chung, Sandy Lee |e investigator |4 oth | |
| 700 | 1 | |a Hamling, Alexander M |e investigator |4 oth | |
| 700 | 1 | |a Kirkendall, Eric S |e investigator |4 oth | |
| 700 | 1 | |a Mann, Ann M |e investigator |4 oth | |
| 700 | 1 | |a Sadeghian, Reza |e investigator |4 oth | |
| 700 | 1 | |a Shelov, Eric |e investigator |4 oth | |
| 700 | 1 | |a Wiesenthal, Andrew M |e investigator |4 oth | |
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