Physicians’ and Nurses’ Documenting Practices and Implications for Electronic Patient Record Design

  • Elke Reuss
  • Rahel Naef
  • Rochus Keller
  • Moira Norrie
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4799)


Data entry is still one of the most challenging bottlenecks of electronic patient record (EPR) use. Today’s systems obviously neglect the professionals’ practices due to the rigidity of the electronic forms. For example, adding annotations is not supported in a suitable way. The aim of our study was to understand the physicians’ and nurses’ practices when recording information in a patient record. Based on the findings, we outline use cases under which all identified practices can be subsumed. A system that implements these use cases should show a considerably improved acceptance among professionals.


EPR data entry User-centred system design Usability 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Nygren, E.: From Paper to Computer Screen. Human Information Processing and Interfaces to Patient Data. In: Proceedings IMIA WG6 (1997)Google Scholar
  2. 2.
    Reuss, E.: Visualisierungs- und Navigationskonzepte für das computerbasierte Patienten-dossier im Spital, Dissertationsschrift, ETH Zürich (2004)Google Scholar
  3. 3.
    Heath, C., Luff, P.: Technology in action, p. 237. Cambridge University Press, Cambridge (2000)Google Scholar
  4. 4.
    Bringay, S., Barry, C., Charlet, J.: A specific tool of annotations for the electronic health record. In: International Workshop of Annotations for Collaboration, Paris (2005)Google Scholar
  5. 5.
    Bricon-Souf, N., Bringay, S., Hamek, S., Anceaux, F., Barry, C., Charlet, J.: Informal notes to support the asynchronous collaborative activities. Int. J. Med. Inf.  (2007)Google Scholar
  6. 6.
    Cimino, J., Patel, V., Kushniruk, W.: Studying the Human–Computer–Terminology Interface. JAMIA 8(2), 163–173 (2001)Google Scholar
  7. 7., accessed on 2007/07/29 Google Scholar
  8. 8.
    Chandramouli, R.: A framework for multiple authorization types in a healthcare application system. In: Computer Security Applications Conference Proceedings, pp. 137–148 (2001)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Elke Reuss
    • 1
  • Rahel Naef
    • 2
  • Rochus Keller
    • 3
  • Moira Norrie
    • 1
  1. 1.Institute for Information Systems, Department of Computer Science, Swiss Federal Institute of Technology ETH, Haldeneggsteig 4, 8092 ZurichSwitzerland
  2. 2.Departement of Nursing and Social Services, Kantonsspital Luzern, Spitalstrasse, 6016 LucerneSwitzerland
  3. 3.Datonal AG, Medical Information Systems Research, Lettenstrasse 7, 6343 RotkreuzSwitzerland

Personalised recommendations