AMIA Annu Symp Proc - Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ surgeri(1148) surgic(1085) robot(1054) }
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Resumo

Efficiency and quality of documentation are critical in surgical settings because operating rooms are a major source of revenue, and because adverse events may have enormous consequences. Electronic health records (EHRs) have potential to impact surgical volume, quality, and documentation time. Ophthalmology is an ideal domain to examine these issues because procedures are high-throughput and demand efficient documentation. This time-motion study examines nursing documentation during implementation of an EHR operating room management system in an ophthalmology department. Key findings are: (1) EHR nursing documentation time was significantly worse during early implementation, but improved to a level near but slightly worse than paper baseline, (2) Mean documentation time varied significantly among nurses during early implementation, and (3) There was no decrease in operating room turnover time or surgical volume after implementation. These findings have important implications for ambulatory surgery departments planning EHR implementation, and for research in system design.

Resumo Limpo

effici qualiti document critic surgic set oper room major sourc revenu advers event may enorm consequ electron health record ehr potenti impact surgic volum qualiti document time ophthalmolog ideal domain examin issu procedur highthroughput demand effici document timemot studi examin nurs document implement ehr oper room manag system ophthalmolog depart key find ehr nurs document time signific wors earli implement improv level near slight wors paper baselin mean document time vari signific among nurs earli implement decreas oper room turnov time surgic volum implement find import implic ambulatori surgeri depart plan ehr implement research system design

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