The transition of the patient's medical record on paper to the electronic patient record and its impact for professionals of a health institution file

• Autor(a) principal: Gambi, Estela Mara Ferreira
• Data de Publicação: 2013
• Outros Autores: Ferreira, Janise Braga Barros, Galvão, Maria Cristiane Barbosa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: RECIIS (Online)
• Texto Completo: https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/455
• topic: Technological transition; Patient record; Electronic Patient Record; Health institution file; Health Informatics.; Transição tecnológica; Prontuário do paciente; Prontuário eletrônico do Paciente; Arquivo de instituição de saúde; Informática em Saúde.

In the twenty-first century, the computerization reaches all fields, including the field of health. Goal. This work aims to analyze the process of computerization of patient records and check its impact for professionals who work in a health institution file. The study adopted a qualitative and exploratory approach, interviewing 12 professionals of a medical file via a script with semistructured. The main results indicate that the professional medical study object file have not received training related to medical record computerization process, although they are professionals who have an insider's view regarding the information flows related to the patient's record and about its use in the everyday hospital care. It is understood that the professionals in the medical file are important informants on effective uses of patient records and should be integrated into the process of computerization as collaborators or potential professionals who can ensure the quality of patient records in electronic support.