Academic Journal
Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports
| العنوان: | Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports |
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| المؤلفون: | Elizabeth J Austin, Jenney R Lee, Cynthia W Ko, Mark R Kilgore, Elizabeth U Parker, Brandelyn Bergstedt, Anita I Mitchell, Sara H Javid, John L Gore |
| المصدر: | BMJ Health & Care Informatics, Vol 27, Iss 3 (2020) |
| بيانات النشر: | BMJ Publishing Group, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Computer applications to medicine. Medical informatics |
| مصطلحات موضوعية: | Computer applications to medicine. Medical informatics, R858-859.7 |
| الوصف: | Objective With the unprecedented rise of patient access to clinical documentation through electronic health records, there is a need for health systems to understand best practices for redesigning clinical documentation to support patient needs. This study used an experience-based co-design approach to inform the redesign of cancer pathology reports to improve their patient-centeredness and impact on patient engagement.Materials and methods Multiple methods for data collection and stakeholder engagement were used, including Delphi prioritisation with breast and colorectal cancer experts (n=78) and focus groups with patients with cancer (n=23) in the Seattle area. Iterative rounds of consensus generation and reflection were used to elicit themes and design recommendations for the development of patient-centred pathology reports on cancer care.Results Although each cancer type had nuanced elements to consider, common design requirements emerged around two key themes: (1) clinical documentation language should be framed in a way that informs and engages patients, and (2) clinical documentation format should be leveraged to enhance readability and information flow. Study activities illuminated detailed recommendations to improve the patient-centeredness of pathology reports based on patients’ and clinicians’ lived experience.Discussion The design requirements that emerged from this study provide a framework that can guide the rapid development of patient-centred pathology reports for all cancer types. Even further, health systems can replicate these methods to guide experience-based co-design of clinical documentation for contexts beyond cancer care.Conclusion This work offers practice-based learnings that can more effectively guide health systems in their clinical documentation redesign efforts. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2020-1001 2632-1009 |
| Relation: | https://informatics.bmj.com/content/27/3/e100197.full; https://doaj.org/toc/2632-1009 |
| DOI: | 10.1136/bmjhci-2020-100197 |
| URL الوصول: | https://doaj.org/article/1b003b61a4bb4d09867398e2786ee55c |
| رقم الانضمام: | edsdoj.1b003b61a4bb4d09867398e2786ee55c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20201001 26321009 |
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| DOI: | 10.1136/bmjhci-2020-100197 |