AMIA Annu Symp Proc - Systematic refinement of a health information technology time and motion workflow instrument for inpatient nursing care using a standardized interface terminology.

Tópicos

{ design(1359) user(1324) use(1319) }
{ assess(1506) score(1403) qualiti(1306) }
{ studi(1119) effect(1106) posit(819) }
{ care(1570) inform(1187) nurs(1089) }
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{ compound(1573) activ(1297) structur(1058) }
{ data(3008) multipl(1320) sourc(1022) }
{ imag(1947) propos(1133) code(1026) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
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{ concept(1167) ontolog(924) domain(897) }
{ perform(999) metric(946) measur(919) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ signal(2180) analysi(812) frequenc(800) }
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{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
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{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
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{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Time and motion (T&M) studies provide an objective method to measure the expenditure of time by clinicians. While some instruments for T&M studies have been designed to evaluate health information technology (HIT), these instruments have not been designed for nursing workflow. We took an existing open source HIT T&M study application designed to evaluate physicians in the ambulatory setting and rationally adapted it through empiric observations to record nursing activities in the inpatient setting and linked this instrument to an existing interface terminology, the Omaha System. Nursing activities involved several dimensions and could include multiple activities occurring simultaneously, requiring significant instrument redesign. 94% of the activities from the study instrument mapped adequately to the Omaha System. T&M study instruments require customization in design optimize them for different environments, such as inpatient nursing, to enable optimal data collection. Interface terminologies show promise as a framework for recording and analyzing T&M study data.

Resumo Limpo

time motion tm studi provid object method measur expenditur time clinician instrument tm studi design evalu health inform technolog hit instrument design nurs workflow took exist open sourc hit tm studi applic design evalu physician ambulatori set ration adapt empir observ record nurs activ inpati set link instrument exist interfac terminolog omaha system nurs activ involv sever dimens includ multipl activ occur simultan requir signific instrument redesign activ studi instrument map adequ omaha system tm studi instrument requir custom design optim differ environ inpati nurs enabl optim data collect interfac terminolog show promis framework record analyz tm studi data

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