Cognitive factors influencing perceptions of clinical documentation tools

S. Trent Rosenbloom, Adrienne N. Crow, Jennifer Urbano Blackford, Kevin B. Johnson

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Identifying healthcare providers' perceptions of clinical documentation methods can inform the design of computer-based documentation tools. The authors investigated the cognitive factors underlying such perceptions by performing a qualitative analysis that included open-ended in-depth interviews of a convenience sample of healthcare providers who use a variety of documentation methods. A total of 16 providers participated in the study; subjects included physicians and nurse practitioners from medical and surgical specialties who used paper- and computer-based documentation tools. Based on interview data, authors identified five factors that influenced satisfaction with clinical documentation tools: document system time efficiency, availability, expressivity, structure, and quality. These factors, if validated by subsequent investigations, can be used to develop a formal conceptual model of providers' perceptions of their satisfaction with various documentation systems.

Original languageEnglish (US)
Pages (from-to)106-113
Number of pages8
JournalJournal of Biomedical Informatics
Issue number2
StatePublished - Apr 2007
Externally publishedYes


  • Computerized
  • Medical Informatics Applications
  • Medical records systems
  • P.H.S.
  • Support, U.S. Gov't
  • Usability
  • User-computer interface

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics


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