Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study.

Tópicos

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Resumo

RPOSE: The adoption of electronic medical record (EMR) system is gradually increasing. However, various time-motion studies reveal conflicting data regarding time effectiveness on workflow due to computerization. One of the major issues for physicians is their uncertainty with EMRs' potential impact of time on workflow. A tertiary eye hospital in south India was in the process of implementing an EMR system in their ambulatory care unit. Many of the staff did not have previous computing experience and there were conflicting views on the time effectiveness of the computerized system after implementation. The management was thus interested to know the real time effectiveness of EMR in their hospital. The study compliments existing studies of this type by comparing the time efficiency of documentation time using EMR system with paper documentation in a hospital in a developing country where a transition between paper and EMR documentation was currently in progress.METHODS: Ten randomly selected optometrists documented the time they spent during consultation with both paper and EMR documentation. The time spent was documented for a total of 200 records (100 EMR and 100 paper records). The independent-samples t-test and analysis of variance were used to compare the means of the consultation time and calculated documentation time spent between the electronic and paper records.RESULTS: There was no statistically significant difference in the time spent for documentation between electronic and paper records. The mean time spent in documenting electronic records was 0.92min (95% CI -3.06 to 1.14) longer than in paper records.CONCLUSION: EMR systems can be adopted in eye hospitals without having significant negative impact on duration of consultation and documentation for optometrists. More time-motion studies that include ophthalmologists are however needed in order to get a more complete picture of time impact of the EMR system on clinical workflow in eye hospitals.

Resumo Limpo

rpose adopt electron medic record emr system gradual increas howev various timemot studi reveal conflict data regard time effect workflow due computer one major issu physician uncertainti emr potenti impact time workflow tertiari eye hospit south india process implement emr system ambulatori care unit mani staff previous comput experi conflict view time effect computer system implement manag thus interest know real time effect emr hospit studi compliment exist studi type compar time effici document time use emr system paper document hospit develop countri transit paper emr document current progressmethod ten random select optometrist document time spent consult paper emr document time spent document total record emr paper record independentsampl ttest analysi varianc use compar mean consult time calcul document time spent electron paper recordsresult statist signific differ time spent document electron paper record mean time spent document electron record min ci longer paper recordsconclus emr system can adopt eye hospit without signific negat impact durat consult document optometrist timemot studi includ ophthalmologist howev need order get complet pictur time impact emr system clinic workflow eye hospit

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