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8/10/2019 Impact of Computerized Physician Documentation by Saka Sheriff
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IMPACT OF COMPUTERIZED PHYSICIAN
DOCUMENTATION IN SOME SELECTED
GOVERNMENT AND PRIVATE HOSPITALS IN
KANO STATE
BY
SAKA SHERIFF ALADE
FCEK/PGDE/08/3039
A RESEARCH WORK SUBMITTED TO THE
DEPARTMENT OF EDUCATION, FEDERAL
COLLEGE OF EDUCATION, KANO IN
PARTIAL FULFILMENT OF THE
REQUIREMENTS FOR THE AWARD OF POST
GRADUATE DIPLOMA IN EDUCATION
PGDE!
MAY, "0#0
APPROVAL PAGE
1
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T$%& '&&() $(& *''+ '(- (+- (..'- (& 1''2%+ 2$' '45%'1'+2& 6
2$' (7(- 6 P&2 G(-5(2' D%.1( %+ E-5(2%+ PGDE! 6 F'-'( C''
6 E-5(2%+, K(+:
;;;;;;;;;;;;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;;;;;;;;;;;;;;;
M&: E: F: A-')' D(2'
P
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ACKNOWLEDGEMENT
T$' .(%&' %& 2 A($ 6 5%-%+ (+- .2'2%+ 1' 2 2$' &5'&&65
1.'2%+ 6 1) &25-%'& (+- 2$%& .(' A' 2 '%&2' 1) .65+- (2%25-' 2 1) &5.'%&
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1.'2%+ 6 2$%& .(' W($''- A%),
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*2$'&!, N55-''+ ?%1$ (+- & +, 6 *'%+ 7%2$ 1' 2$5$ 52 2$'
.(11':
3
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CERTIFICATION
I '2%6) 2$(2 2$%& .+7'-' 2$%& .
8/10/2019 Impact of Computerized Physician Documentation by Saka Sheriff
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DEDICATION
T$%& .
8/10/2019 Impact of Computerized Physician Documentation by Saka Sheriff
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TABLE OF CONTENTS
T%2' P(' ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: %
A..( P(' ::::::::::::::::::::::::::::::::::::::::::::::::::::::: %%
A>+7'-'1'+2 ::::::::::::::::::::::::::::::::::::::::::::::::::::: %%%
C'2%6%(2%+ ::::::::::::::::::::::::::::::::::::::::::::::::::::::: %
D'-%(2%+ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
T(*' 6 C+2'+2& ::::::::::::::::::::::::::::::::::::::::::::::::::::::: %%%
A*&2(2 :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: %%%
CHAPTER ONE
INTRODUCTION
#:# B(>5+- 6 2$' &25-) ::::::::::::::::::::::::::::::::::::::: ##:" P5.&' 6 2$' &25-) ::::::::::::::::::::::::::::::::::::::: "
#:3 S2(2'1'+2 6 2$' .*'1& :::::::::::::::::::::::::::: 3
#: R'&'($ 45'&2%+& :::::::::::::::::::::::::::::::::::::::
#: S%+%6%(+' 6 2$' &25-) :::::::::::::::::::::::::::::::::::::::
#: S.' 6 2$' &25-) :::::::::::::::::::::::::::::::::::::::
#: L%1%2(2%+ 6 2$' &25-) :::::::::::::::::::::::::::::::::::::::
#:8 D'6%+%2%+ 6 2'1& ::::::::::::::::::::::::::::::::::::::: 8
CHAPTER TWO
LITERATURE REVIEW
":# I+2-52%+ ::::::::::::::::::::::::::::::::::::::: 9
":" I1.(2 6 1.52'& + $'(2$ 7>'& ::::::: 9
":":# W$) '+'( .(2%2%+'& 5&' 1.52'& (+- $&.%2(
-2& - +2 :::::::::::::::::::::::::::::::::: #"
":":" E'2+% .(2%'+2.$)&%%(+ 115+%(2%+ :::: #"
":3 W$) 1.52' (' +''-'- :::::::::::::::::::::::::: #3
":3:# I1.(2 6 1.52'*(&'- %+61(2%+ + &%'2)
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: #
6
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":3:" E66%%'+) %+ 2$' 5&' 6 1.52'%@'- -51'+2(2%+
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
#9
CHAPTER THREE
RESEARCH METHODOLOGY
3:# I+2-52%+ :::::::::::::::::::::::::::::::::::::::::::: "#
3:" R'&'($ D'&%+ :::::::::::::::::::::::::::::::::::::::::::: "#
3:3 P.5(2%+ :::::::::::::::::::::::::::::::::::::::::::: "#
3: S(1.' (+- &(1.%+ 2'$+%45' :::::::::::::::::::::: "#
3: I+&251'+2(2%+ :::::::::::::::::::::::::::::::::::::::::::: ""
3: P'-5' 6 -(2( (+()&%& :::::::::::::::::::::::::::::::::::: "3
3: S511() :::::::::::::::::::::::::::::::::::::::::::::::: "
CHAPTER FOUR
DATA ANALYSIS AND PRESENTATION OF RESULT
:# I+2-52%+ ::::::::::::::::::::::::::::::::::::::::::::::::::: "
:" D(2( (+()&%& (+- '&52& ::::::::::::::::::::::::::::::::::::::: "
:3 D%&5&&%+ :::::::::::::::::::::::::::::::::::::::::::::::::::: 3
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATIONS
:# I+2-52%+ ::::::::::::::::::::::::::::::::::::::::::::::::::::: 0
:" S511() ::::::::::::::::::::::::::::::::::::::::::::::::::::: 0
:3 C+5&%+ ::::::::::::::::::::::::::::::::::::::::::::::::::::: #
: R'11'+-(2%+& ::::::::::::::::::::::::::::::::::::::::::::::::::::: "
R'6''+'&
A..'+-%=
7
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ABSTRACT
T$' *') 2
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%+&2%252%+&: T$' ..5(2%+ +&%&2'- 6 2$' .$)&%%(+& %+ K(+
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( .%%2):
8
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CHAPTER ONE
#:0 INTRODUCTION
T$' '66'2%'+'&& 7%2$ 7$%$ %+61(2%+ +''-'- *)
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7' 1(+('-:
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9
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.$)&%%(+ -51'+2(2%+ %+ 2$' $&.%2(& 7%2$ .(2%5(
'6''+' 2 2$%& ('( 6 &25-):
#:"PURPOSE OF THE STUDY
T$' .5.&' 6 2$' &25-) %& 2 %-'+2%6) 2$' '66'2& 6
1.52'%@'- -51'+2(2%+ %+ $&.%2(& (+- 2$' (22%25-'&
6 2$&' %+ 2$(2 &'2 27(-& 2$' 5&' 6 1.52':
T$' &25-) (& 652$' %+2'+-& 2J
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115+%(2%+ (1+ 2$' $'(2$ 7>'&:
11
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#:3 STATEMENT OF THE PROBLEMS
T$' (*&'+' 6 1.'2' (5(2' .$)&%%(+
-51'+2(2%+ +2%+5'& 2 .&' +'+ 6 $&.%2(
.%-'&: B'%+ %+ 1.%(+' (+- '+&5%+ (5(2'
'- >''.%+ %:': 1.52'%@'- 1(+5(!: H7'', 2$'
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.$)&%%(+ -51'+2(2%+ 7$%$ $(& *''+ &$7+ 2 *'
-'6%%'+2:
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'$%' 6 115+%(2%+ 6 (' %'& 2 '(5(2', .(+
(+- 1+%2 .(2%'+2& (' .(+&:
B'(5&' 6 2$' .2'+2%(& 6 %1.2(+2 '66'2& 61
2$' 5&' 6 1.52'%@'- .$)&%%(+ -51'+2(2%+ CPD!,
2$' %>'%$- 2$(2 2$%& 2'$+) 7% .%6'(2', (+- 2$'
.(5%2) 6 '&'($ 2 %2 5&' %+ 2$' %+.(2%'+2 &'22%+, 2$%&
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*) 2$' 2(+&6' 61 1(+5( 2 1.52'%@'- '-
>''.%+ %+ $&.%2(&:
#: RESEARCH QUESTIONS
T$' 67%+ 45'&2%+& (' 2$''6' (%+ 6
(+&7'& 2 (&'2(%+ 2$' 6(2 6 2$'&' ..&%2%+&J
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-51'+2%+ '-& %+ 2$' $&.%2( 1.('- 2 2$'
+'+2%+( .(.'*(&'- $(+- 7%22'+!
%%: W% 2$' %+2-52%+ 6 1.52' %+ ( $&.%2(
+&52(2%+ 1& %+'(&' 2$' %+2'.'&+(
'(2%+&$%. *'27''+ .(2%'+2& (+- .$)&%%(+&
%%%: I& 2$'' (+) '(2%+&$%. *'27''+ 2$' *(>5+- 6
2$' .$)&%%(+& (+- 2$' 5&' 6 1.52'
13
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#: SIGNIFICANCE OF THE STUDY
I+ -(%) -51'+2(2%+ (+- 1(%+2'+(+' 6 1'-%(
'- (+- 45(%2) %& ( 5%( %&&5' %+ $&.%2(&: T$' '(
45(%2) 6 2$' $'(2$ '-& 5- *' '+$(+'- 7%2$ 2$' 5&'
6 ''2+% -'%'& 1.52'&!:
T$''6', 2$%& &25-)& &%+%6%(+'& (' 2$' 67%+J
%: I2 %& $.'- 2$(2 2$' 6%+-%+& 6 2$%& &25-) 7% $'. 2$'
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1.52':
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'%(*%%2) 6 1'(&5%+ 2$' %1.(2 6 1.52'
&)&2'1 %+ 2$' +&52(2%+ 1 6 -51'+2(2%+:
14
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#: SCOPE OF THE STUDY
W%2$ '(- 2 2$' '&'($ &5*' 7% %+ 2$' ('( 6 &25-) 2 (2$' %+61(2%+
(+- 2$' &'2%+& 6 2$' $&.%2(& 2$(2 (+ *' 5&'-:
F%&2), (& 2$' +(1' 2$' '&'($ 2.% %& *(&'- +
2$' .$)&%%(+& -2&! 2$%& 2$'+ ( 6 2$' 6(2 2$(2 +)
2$' .$)&%%(+& (+- ') 6'7 2$' $'(2$ 7>'& 7% *'
+&52'- 6 (2$'%+ %+61(2%+:
S'+-), 2$' (22%25-' 6 2$' .$)&%%(+& 27(-& 2$'
5&' 6 1.52' 2$(2 7% *' &25-%'- 1() +2 *' '=2(+'5&
-5' 2 2$' 6(2 %+ 2$' 1.'2%+ 6 2$' 7>:
#: LIMITATION OF THE STUDY
T$%& &25-) $(& &1' %1%2(2%+&: D(2( 7(& '2'-
61 6'7 $&.%2(& %+ K(+ &2(2' 7$%$ '.'&'+2 &(1.' 6
2$' +51'5& (%(*'& 2$(2 (+ *' 2'&2'- + 2$' &5*
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#:8 DEFINITION OF TERMS
CPDJ 1'(+& C1.52'%@'- P$)&%%(+ D51'+2(2%+
7$%$ %& 2$' .$)&%%(+& '-& &2'-,
.'&&'-, (+()@'-, '+'(2'- *) 1.52':
PhysicianJ T$%& %& ( %'+&'- 1'-%( .(2%2%+':
EHRsJ 1'(+& E'2+% H'(2$ R'-& 7$%$ %& &1'
$7 &)++)15& 2 CPD (+ ''2+% 1'2$-
6 &2%+ '-& %+ 2$' $'(2$ &'2&:
CPRsJ 1'(+ C1.52'%@'- P$)&%%(+ R'-&:
Docu!n"a"ionJ P(1 %&2%+& 2'$+%( 1(+5(&
-'&%*%+ 2$' .'(2%+ (+- 5&' 6
.(1&:
Pa"i!n"J A .'&+ 7$ '45%'& 1'-%( (':
PDAJ P'&+( -%%2( (&&%&2(+2 %& ( %$27'%$2
+&51' ''2+% -'%' 2$(2 >& %>' (
$(+-$'- 1.52' *52 %+&2'(- .'61&
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Hos#i"a$J A 1'-%( %+&2%252%+ 7$'' &%> %+
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CHAPTER T%O
LITERATURE RE&IE%
":# INTRODUCTION
T$%& &'2%+ '+2(%& %+61(2%+ &%$2'- 61 &1'
&''2'- %2'(25'& 7%2$ .%+2& + 2$' '&'($ 7>:
T$' .(2%'+2 $'(2$ '- &''& (& 2$' '.&%2) 6 (
%+61(2%+ ''(+2 2 2$' (' 6 ( .(2%'+2 %+ ( $&.%2(
$'(2$ (' &)&2'1, 7$%' %+%( -51'+2(2%+ %& 2$' '
6 2$%& '-: A1+ 2$' 1(+) .5.&'& 6 2-()& $'(2$
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%+%%(+& '1(%+& 2$' 1&2 %1.2(+2: T$' 2(-%2%+(
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6'=%*%%2), '-5%+ %2& '66'2%'+'&& (& ( 115+%(2%+
2: T$'&' %1%2(2%+& $(' -%'+ 1(+) %+&2%252%+& 2
(-.2 ''2+% $'(2$ '-& EHR&!:
A-(+'& %+ EHR& $(' 1(-' %2 .&&%*' 2
1.52'%@' 1(+) 65+2%+& 6 2$' .(2%'+2 $'(2$ '-:
W$%' 2$' %+5&%+ 6 .$)&%%(+ -51'+2(2%+ %+ EHR&
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&1' EHR& (7 6 -%'2 '+2) 6 .$)&%%(+
17
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-51'+2(2%+ %( ( 1.52' >')*(- (+- 15&', (
.'&& 7' '6' 2 (& C1.52'%@'- P$)&%%(+
D51'+2(2%+ CPD!:
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S)&2'1 CPRS!: I+ (--%2%+ 2 (7%+ .$)&%%(+& 2 2).'
-%'2) %+2 2$' $(2, CPRS .%-'& -51'+2 2'1.(2'&,
.)(+- .(&2' 65+2%+&, (+- (521(2'- %+&'2%+ 6
%+%( -(2( 2 6(%%2(2' 2$' &1'2%1'& *5-'+&1' 2(&> 6
-51'+2(2%+: S%+' 2$' ''(&' 6 CPRS %+ #998, 1&2
V'2'(+& A-1%+%&2(2%+ M'-%( C'+2'& VAMC&! $('
1(+-(2'- 2$(2 %+%%(+& 1(>' 2$' 2(+&%2%+ 61 .(.'
*(&'- -51'+2(2%+ 2 CPRS*(&'- CPD:
T$' '(2%+ (+- '%'7 6 %+%( -51'+2(2%+ ('
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18
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7%2$ .(.'*(&'- '-&, 2$' $(' +2'- 2$(2 EHR*(&'-
-51'+2(2%+ 1() .12' 2$' 1.'2%+ 6 &5$
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%+61(2%+ (+- 5- *' &2 7%2$ CPD: I+-''-, 1'
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+%2%' *'$(%5& &5$ (& %+61(2%+ (2$'%+,
(+%@(2%+ (+- '(&+%+ &2(2'%'&: E1*% '2 ( "00!:
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":":" E$!c"(onic Pa"i!n"+Physician
Counica"ion*
A-%+ 2 K'++'2$ '2 ( "003! ( %2%( 1(&& 6
%+2'+'2 5&'& %:': 1.52'& 7%2$ 2$' %+2'+'2 ++'2%+!
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.(2%'+2& 66'& %1.2(+2 ..25+%2%'& 6 *'22'
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CHAPTER THREE
RESEARCH METHODOLOGY
3:# INTRODUCTION
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CHAPTER FOUR
DATA ANALYSIS AND PRESENTATION OF RESULTS
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CHAPTER FI&E
SUMMARY1 CONCLUSION AND RECOMMENDATIONS
:# INTRODUCTION
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: RECOMMENDATION
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