NDLI: "Who's scribing?": documenting patient encounter during trauma resuscitation

Content Provider	ACM Digital Library
Author	Sarcevic, Aleksandra
Abstract	With healthcare moving towards electronic health records, it is important to understand existing work practices to design effective systems. We conducted an observational study in a Level I trauma center to examine the documentation process and the role of the nurse recorder in trauma resuscitation. We identified several difficulties with current recording practices, including the late arrival of the nurse recorder, parallel activities of the trauma team, and multitasking by the recorder. Our observations showed that the recorder's role extends beyond archival responsibilities. The recorder, with the help of a paper record, manages the resuscitation process, rather than passively documenting it. Our findings highlighted the complexity of the recorder's role and the need to consider documentation in the broader context of trauma teamwork. We proposed a set of design challenges that emphasize important aspects of trauma care to be considered when designing technologies to support the documentation process.
Ending Page	1908
Page Count	10
Starting Page	1899
File Format	PDF MP4 MP2 / MPA / MP3
ISBN	9781605589299
DOI	10.1145/1753326.1753611
Language	English
Publisher	Association for Computing Machinery (ACM)
Publisher Date	2010-04-10
Publisher Place	New York
Access Restriction	Subscribed
Subject Keyword	Collocated teams Documentation methods Medical records Trauma resuscitation
Content Type	Audio Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

"Who's scribing?": documenting patient encounter during trauma resuscitation