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Effectiveness of a computerised system of patient education in clinical practice: a longitudinal nested cohort study
  1. Chia-Hsien Su1,2,
  2. Tsai-Chung Li3,
  3. Der-Yang Cho4,5,
  4. Wei-Fen Ma6,7,
  5. Yu-Shan Chang1,6,
  6. Tsung-Han Lee8,
  7. Li-Chi Huang6,7
  1. 1 Department of Public Health, China Medical University, Taichung, Taiwan
  2. 2 Nursing, New Taipei City Hospital, Taipei, Taiwan
  3. 3 Graduate Institute of Biostatistics, China Medical University, Taichung, Taiwan
  4. 4 Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan
  5. 5 Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan
  6. 6 Department of Nursing, China Medical University Hospital, Taichung, Taiwan
  7. 7 School of Nursing, China Medical University, Taichung, Taiwan
  8. 8 Information Technology Office, China Medical University Hospital, Taichung, Taiwan
  1. Correspondence to Professor Li-Chi Huang; lichi{at}


Introduction Developing electronic health record information systems is an international trend for promoting the integration of health information and enhancing the quality of medical services. Patient education is a frequent intervention in nursing care, and recording the amount and quality of patient education have become essential in the nursing record. The aims of this study are (1): to develop a high-quality Patient Education Assessment and Description Record System (PEADRS) in the electronic medical record (2); to examine the effectiveness of the PEADRS on documentation and nurses’ satisfaction (3); to facilitate communication and cooperation between professionals.

Methods and analysis A quasi-experimental design and random sampling will be used. The participants are nurses who are involved in patient education by using traditional record or the PEADRS at a medical centre. A prospective longitudinal nested cohort study will be conducted to compare the effectiveness of the PEADRS, including (1): the length of nursing documentation (2); satisfaction with using the PEADRS; and (3) the benefit to professional cooperation.

Ethics and dissemination Patient privacy will be protected according to Electronic Medical Record Management Practices of the hospital. This study develops a patient education digital record system, which would profit the quality of clinical practice in health education. The results will be published in peer-reviewed journals and will be presented at scientific conferences.

  • health informatics
  • patient education
  • patient education record system

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  • C-HS and Y-SC contributed equally.

  • Contributors C-HS is the principal investigator of the PEADRS. Study concept was given by C-HS, Y-SC and D-YC. C-HS, T-CL, W-FM, T-HL, Y-SC and L-CH contributed to the design of the study and/or to the implementation of the Intervention. C-HS and Y-SC wrote the manuscript and L-CH revised for important intellectual contents. All authors approved the final manuscript.

  • Funding We would like to thank the China Medical University Hospital, Taiwan, for financial support (DMR-106-143 , DMR-107-141).

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval The ethical approval has been approved by the Institutional Review Board of China Medical University Hospital (CMUH107-REC2-024).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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