From: Enhancing patient-doctor-computer communication in primary care: towards measurement construction
Original item number | Item | Suggested modification |
---|---|---|
2 | Preview the EMR before entering or having the patient enter the room | Discard item |
4 | Introduce the computer and its role to the patient, while identifying the patient in the EMR | Keep item |
8 | Establish reason for visit primarily based on the patient’s needs rather than computer prompts | Discard – similar to item 7 |
9 | Describe the security and confidentiality of the patient’s electronic record information | Keep and add: if needed |
10 | Discuss antecedent treatments while browsing the computerized record | Keep item |
12 | Reposition the screen so that it is closer to the patient | Keep and add: or in view of the patient |
14 | Signal shifts toward the computer, let the patient know that you are still attending to his or her needs | Discard – similar to item 11 |
15 | Read back what you have written followed by looking at your patient | Modify item into: Read back what you have written and add item: Type-in and document information provided by the patient |
16 | Use transition statements to the computer, signpost, use real-time typing, read-back | Discard – similar to items 25, 26 (verbal and non-verbal communication skills) |
17 | Encourage patient participation in building their charts | Keep item: Item is important as it offers the patient the opportunity to correct errors in his record and/or approve certain information in his chart. |
19 | Verify patient literacy, primary language, and visual acuity to optimize computer use | The issue of patient literacy is extremely important especially while using the computer for patient education purposes |
24 | Use verbal and non-verbal cues: eye gaze, affirmative head nodding while patient is talking | Discard – does not refer specifically to EMR use and is similar to 25, 26. |