Experience in implementing inpatient clinical note capture via a provider order entry system.
Care providers' adoption of computer-based health-related documentation ("note capture") tools has been limited, even though such tools have the potential to facilitate information gathering and to promote efficiency of clinical charting. The authors have developed and deployed a computerized note-capture tool that has been made available to end users through a care provider order entry (CPOE) system already in wide use at Vanderbilt. Overall note-capture tool usage between January 1 [...]
Author(s): Rosenbloom, S Trent, Grande, Jonathan, Geissbuhler, Antoine, Miller, Randolph A
DOI: 10.1197/jamia.M1461