The influence of integrated electronic medical records and computerized nursing notes on nurses' time spent in documentation.

IF 1.9
Tracy Yee, Jack Needleman, Marjorie Pearson, Patricia Parkerton, Melissa Parkerton, Joelle Wolstein
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引用次数: 64

Abstract

We investigated nurses' time spent in documentation as it relates to the use of electronic charting. A cross-sectional analysis was completed using time and motion data collected during a nursing process improvement initiative for 105 units in 55 hospitals. Ordinary least squares regression with a cluster adjustment revealed very little difference in time spent in documentation with or without the use of electronic medical records or computerized nursing notes. Nurses spent 19% of their time completing documentation, regardless of electronic charting usage, compared with all other categories of care. These findings suggest that integrated electronic medical records and computerized nursing notes do not appear to increase the time nurses spend documenting.

综合电子病历和电脑化护理笔记对护士花在文件上的时间的影响。
我们调查了护士花在文件上的时间,因为它与电子图表的使用有关。在55家医院的105个单位的护理过程改进倡议中,使用收集的时间和运动数据完成了横断面分析。带聚类调整的普通最小二乘回归显示,使用或不使用电子病历或计算机化护理笔记的记录时间差异很小。与所有其他类别的护理相比,护士花费19%的时间完成文件,而不考虑电子图表的使用。这些发现表明,集成电子病历和计算机化护理笔记似乎不会增加护士花在记录上的时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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