Int J Med Inform - Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff?

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ record(1888) medic(1808) patient(1693) }
{ time(1939) patient(1703) rate(768) }
{ case(1353) use(1143) diagnosi(1136) }
{ use(1733) differ(960) four(931) }
{ featur(1941) imag(1645) propos(1176) }
{ cost(1906) reduc(1198) effect(832) }
{ algorithm(1844) comput(1787) effici(935) }
{ studi(1410) differ(1259) use(1210) }
{ compound(1573) activ(1297) structur(1058) }
{ survey(1388) particip(1329) question(1065) }
{ measur(2081) correl(1212) valu(896) }
{ featur(3375) classif(2383) classifi(1994) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ chang(1828) time(1643) increas(1301) }
{ data(1714) softwar(1251) tool(1186) }
{ general(901) number(790) one(736) }
{ research(1085) discuss(1038) issu(1018) }
{ perform(1367) use(1326) method(1137) }
{ age(1611) year(1155) adult(843) }
{ structur(1116) can(940) graph(676) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: To determine whether the introduction of an electronic nursing documentation system in a nursing home reduces the proportion of time nursing staff spend on documentation, and to use this information in evaluating the usefulness of the system in improving the work of nursing staff.METHODS: An observational work sampling study was conducted in 2009 and 2010, 2 months before, and 3, 6 and 12 months after the introduction of an electronic nursing documentation system. An observer (ENM) used a work classification tool to record documentation activities being performed using paper and with a computer by nursing staff at particular times for periods of 5 days.RESULTS: Three hundred and eighty three (383) activities were recorded before implementation of the electronic system, 472 activities at 3 months, 502 at 6 months, and 338 at 12 months after implementation. There was no significant difference between the proportion of time nursing staff spent on documentation 2 months before and 3 months after the implementation of the electronic system. Six months after implementation, the proportion of time on documentation increased significantly and after 12 months, settled back to original levels that were recorded in the paper-based system. Over half of the proportion of time on documentation at 6 and 12 months after implementation was spent on paper documentation tasks.CONCLUSION: Introduction of an electronic nursing documentation system did not reduce the proportion of time nursing staff spent on documentation. This may in part have been a result of the practice of documenting some information items on paper and others on a computer. To reduce the use of paper documentation or to achieve a paper-free documentation environment in this setting, an in-depth understanding of nursing staff's information needs, and documentation workflow is necessary.

Resumo Limpo

rpose determin whether introduct electron nurs document system nurs home reduc proport time nurs staff spend document use inform evalu use system improv work nurs staffmethod observ work sampl studi conduct month month introduct electron nurs document system observ enm use work classif tool record document activ perform use paper comput nurs staff particular time period daysresult three hundr eighti three activ record implement electron system activ month month month implement signific differ proport time nurs staff spent document month month implement electron system six month implement proport time document increas signific month settl back origin level record paperbas system half proport time document month implement spent paper document tasksconclus introduct electron nurs document system reduc proport time nurs staff spent document may part result practic document inform item paper other comput reduc use paper document achiev paperfre document environ set indepth understand nurs staff inform need document workflow necessari

Resumos Similares

J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,804759461062675 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,777360868763292 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,765646243325123 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,759199203668108 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,752364331382359 )
BMC Med Inform Decis Mak - Improving the effectiveness of electronic health record-based referral processes. ( 0,742890740117565 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,736721600657855 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,735321119171952 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,72923569995447 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,728106360829648 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,727538587318047 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,727173975267717 )
Comput. Biol. Med. - A closer look at nursing documentation on paper forms: preparation for computerizing a nursing documentation system. ( 0,720749970156447 )
Telemed J E Health - Telephotography in trauma: a 2-year clinical experience. ( 0,719129156007986 )
BMC Med Inform Decis Mak - Validation of the Work Observation Method By Activity Timing (WOMBAT) method of conducting time-motion observations in critical care settings: an observational study. ( 0,719037086695186 )
Int J Med Inform - Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. ( 0,711598023229209 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,709028968323635 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,708426403225769 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,706933451296697 )
Med Decis Making - Impact of Diabetes E-Consults on Outpatient Clinic Workflow. ( 0,703050857494798 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,701281674814411 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,700774544599366 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,699392889028149 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,696310623822791 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,695740641335561 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,694179774630226 )
Int J Med Inform - Improving chemotherapy processes with a protocol-based information system: a pre and post-implementation study. ( 0,690185943515316 )
J Med Syst - A usability framework for speech recognition technologies in clinical handover: a pre-implementation study. ( 0,689390691808785 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,68337842654283 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,681940470077047 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,678195178731954 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,672132891336972 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,666169918282177 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,666028938460841 )
BMC Med Inform Decis Mak - Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research. ( 0,665572638319321 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,662881113663205 )
Int J Med Inform - Supporting medical communication for older patients with a shared touch-screen computer. ( 0,660034965651036 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,652146732574175 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,648413428276579 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,64731631906503 )
AMIA Annu Symp Proc - Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype. ( 0,645726575198323 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,643582083499903 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,641573949648155 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,6398222327712 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,638815808727992 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,6375262710667 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,637338729651613 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,636255672337999 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,63538224462245 )
Int J Med Inform - Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow. ( 0,635000641441938 )
Int J Health Geogr - Identifying risk factors for healthcare-associated infections from electronic medical record home address data. ( 0,632701520598124 )
J Am Med Inform Assoc - Use of electronic clinical documentation: time spent and team interactions. ( 0,63252598884134 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,629624214357805 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,628893604594478 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,627648061315351 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,625384236457597 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,625142468915124 )
J Telemed Telecare - Mobile computing and the quality of home care nursing practice. ( 0,624815416335649 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,623098866108574 )
J Am Med Inform Assoc - A novel clinician interface to improve clinician access to up-to-date genetic results. ( 0,622586888960797 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,62103125168043 )
Int J Med Inform - Preparing the ground for the 'paperless hospital': a case study of medical records management in a UK outpatient services department. ( 0,620987736398785 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,615925818488511 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,614396795613302 )
Int J Med Inform - An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. ( 0,612506037738884 )
Int J Med Inform - Exploring practice variation in preventive pressure-ulcer care using data from a clinical data repository. ( 0,610623596391908 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,610364273167521 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,609906477066934 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,609519579355822 )
Int J Med Inform - Unintended adverse consequences of introducing electronic health records in residential aged care homes. ( 0,608100661125586 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,607834036085654 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,605923354468977 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,605691811481463 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,605659321472626 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,605406017905708 )
AMIA Annu Symp Proc - Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record. ( 0,604345549738374 )
J Am Med Inform Assoc - A system dynamics evaluation model: implementation of health information exchange for public health reporting. ( 0,604113084590325 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,603935386762533 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,603162519429288 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,602460061481459 )
BMC Med Inform Decis Mak - What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study. ( 0,600444449477738 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,595434101581646 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,594248656857481 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,591947698120539 )
J Biomed Inform - Proclets in healthcare. ( 0,59137941682785 )
Int J Med Inform - The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home. ( 0,587428146819535 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,586140828496881 )
J Telemed Telecare - The effect of PACS on the practice of orthopaedic surgeons. ( 0,585238238215624 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,585139805346001 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,584440249216067 )
Int J Med Inform - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. ( 0,58416061332995 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,584093257974828 )
Perspect Health Inf Manag - Assessment of success on the RHIA certification examination: a comparison of baccalaureate program graduates and postbaccalaureate certificate program graduates. ( 0,583913229320686 )
AMIA Annu Symp Proc - Who said it? Establishing professional attribution among authors of Veterans' Electronic Health Records. ( 0,583741911605099 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,583498529981554 )
Appl Clin Inform - An evaluation of the usability of a computerized decision support system for nursing homes. ( 0,58169679520239 )
Int J Med Inform - Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings. ( 0,581056324106153 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,58081282488624 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,57804460570807 )
Health Informatics J - Sources of variation in primary care clinical workflow: implications for the design of cognitive support. ( 0,576601080214128 )