INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE最新文献

{"title":"Relationships between maternal characteristics and infant birth weight.","authors":"Maryam Javadi,&nbsp;Sima Rafiei,&nbsp;Fariba Zahedifar,&nbsp;Ameneh Barikani","doi":"10.1108/IJHCQA-05-2017-0081","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2017-0081","url":null,"abstract":"<p><strong>Purpose: </strong>Nowadays, the importance of infant birth weight (IBW) as a key factor in determining the future of physical and mental development of children is a growing concern. The purpose of this paper is to investigate the relationship between maternal characteristics and IBW among pregnant women who were referred to health centers in Qazvin city in the year 2016.</p><p><strong>Design/methodology/approach: </strong>A descriptive-analytical study was conducted among pregnant women in 28-36 weeks of gestation who referred to healthcare centers and facilities affiliated by the Qazvin University of Medical Sciences in April-June 2016. The associations between maternal physical activity, mothers' socioeconomic status and birth weight were examined by SPSS Software Package version 16 through linear and logistic regression tests.</p><p><strong>Findings: </strong>Linear regression modeling suggested that maternal weight (<i>p</i>=0.001), income (<i>p</i>=0.04), gestational age of delivery (<i>p</i>=0.00) and pre-pregnancy BMI (<i>p</i>=0.02) were positively associated with birth weight, while occupational and heavy physical activity (<i>p</i>=0.003 and 0.008, respectively) were negatively associated with IBW. In this study, low birth weight infants are compared to those with normal weight belonged to mothers who have spent more time in doing heavy physical activities (OR=1.11, 95% CI 1.01-1.23). Also infants with low birth weight compared to others in the normal weight category were born from mothers with lower pre-pregnancy BMI (OR=0.65, 95% CI 0.62-0.78), gestational age of delivery (OR=0.82, 95% CI 0.79-0.86), maternal weight (OR=0.86, 95% CI 0.84-0.88) and income (OR=0.79, 95% CI 0.69-0.83).</p><p><strong>Practical implications: </strong>The study findings revealed that certain maternal characteristics could play a significant role in IBW. Despite the importance, in most of developing countries (particularly Iran), future mothers are not advised about an appropriate weight gain during pregnancy or the optimal level of physical activity in such a period of time. Therefore, counseling pregnant women and giving them proper information on appropriate perinatal care would be helpful in order to have pregnancies with optimal outcomes.</p><p><strong>Originality/value: </strong>The authors applied several statistical methods to analyze IBW among mothers with different maternal characteristics and predict birth weight based on contributing factors.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"688-697"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2017-0081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"mHealth apps design using quality function deployment.","authors":"Süleyman Barutçu","doi":"10.1108/IJHCQA-08-2018-0195","DOIUrl":"https://doi.org/10.1108/IJHCQA-08-2018-0195","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is threefold: first, to draw health managers', clinicians', entrepreneurs' and mobile apps designers' attention toward new mobile health applications (mHealth apps); second, to define mHealth apps design characteristics intended for doctors; and third, to highlight how mHealth apps can be designed using quality function deployment/house of quality (QFD/HOQ) techniques from doctors' perspectives.</p><p><strong>Design/methodology/approach: </strong>Data were collected through a survey and in-depth interviews with doctors to understand their needs and attitudes toward mHealth apps. Analytic hierarchy process, QFD and HOQ methods were used to analyze data.</p><p><strong>Findings: </strong>Doctors agreed that mHealth apps provide them with the tools to improve their service and to become more efficient. Once the 12 doctors' wants were collected, they were prioritized according to their significance and used for mHealth apps development. Eight technical characteristics that cater to doctors' expectations were sorted. The authors suggest that mHealth app designers need to provide design requirements recommended by health personnel for a higher satisfaction level.</p><p><strong>Originality/value: </strong>Healthcare managers are focusing on increasing their efficiency, patient satisfaction and care quality, and decreasing costs. For these purposes, mHealth revolution and mHealth apps have high potential for improving doctor effectiveness and healthcare quality. This study is among the first to: define Turkish doctors' wants from mHealth apps; elaborate the app's technical characteristics; and increase design quality, which is implied in improving app design. This research makes a significant contribution to define doctors' wants from mHealth apps, to elaborate their technical characteristics and to increase mHealth apps design quality using QFD.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"698-708"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-08-2018-0195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37263505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences of Iranian average risk population for colorectal cancer screening tests.","authors":"Vajiheh Ramezani Doroh,&nbsp;Alireza Delavari,&nbsp;Mehdi Yaseri,&nbsp;Sara Emamgholipour Sefiddashti,&nbsp;Ali Akbarisari","doi":"10.1108/IJHCQA-08-2017-0151","DOIUrl":"https://doi.org/10.1108/IJHCQA-08-2017-0151","url":null,"abstract":"PURPOSE\u0000The purpose of this paper is to explore the preferences of the average risk Iranian population for colorectal cancer (CRC) screening tests.\u0000\u0000\u0000DESIGN/METHODOLOGY/APPROACH\u0000A standard stated-preferences method with discrete choice models was used to identify the preferences. Data about socio-demographic status, health status and preferences for CRC screening tests were collected by a structured questionnaire that was completed by 500 people aged 50-75 years. Mixed logit model was used to analyze the preferences.\u0000\u0000\u0000FINDINGS\u0000The regression model showed that the test process, pain, place, frequency, preparation, sensitivity, complication risk, mortality rate and cost were the final attributes; that had a statistically significant correlation with the preferences of the people in choosing CRC screening tests. The socio-demographic and health status of participants had no significant correlation with the individuals' preferences.\u0000\u0000\u0000PRACTICAL IMPLICATIONS\u0000This study provides insight into how different characteristics of a CRC screening test might influence the preferences of individuals about that test.\u0000\u0000\u0000ORIGINALITY/VALUE\u0000This was the first study of this type in Iran to elicit the preferences of the average risk population for CRC screening tests using a discrete choice model.","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"677-687"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-08-2017-0151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting quality management at the Thai national institute of health.","authors":"Natkamol Chansatitporn,&nbsp;Vallerut Pobkeeree,&nbsp;Surachart Na Nongkhai,&nbsp;Somchai Sangkijporn","doi":"10.1108/IJHCQA-05-2018-0107","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2018-0107","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to confirm and examine organization-related factors that could affect quality management at the Thai national reference laboratory known as National Institute of Health.</p><p><strong>Design/methodology/approach: </strong>The authors invited 340 laboratory staff members to complete a questionnaire that enquired about their skills, opinions, perceptions, leadership, work environment, organizational culture and organizational commitment in relation to quality management. Confirmatory factor analysis (CFA) and multiple linear regression were used to analyze the data.</p><p><strong>Findings: </strong>In total, 65 percent of institute members responded to the questionnaire. CFA revealed that all factors were related to quality management. Three factors, leadership, organizational commitment and work environment, significantly affected quality management, but organizational culture did not.</p><p><strong>Research limitations/implications: </strong>Other data types should be collected for an in-depth understanding, i.e. focus groups or in-depth interviews. A longitudinal study could also enhance quality management understanding to see how each variable changes over time.</p><p><strong>Originality/value: </strong>Analyzing quality management through confirmatory factor and regression analysis showed that the four analyzed variables are statistically significant in relation to quality management at the laboratory. Managers could apply this information to revise the current policy.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"739-751"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2018-0107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Bahraini patients accept e-health systems?","authors":"Ali Zolait,&nbsp;Nadeen Radhi,&nbsp;Muna Moahmmed Alhowaishi,&nbsp;Veera Pandiyan Kaliani Sundram,&nbsp;Lulwa Mohammed Aldoseri","doi":"10.1108/IJHCQA-05-2018-0106","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2018-0106","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to examine whether Bahraini individuals accept e-health system and the prominent factors affecting e-health system adoption in Bahrain.</p><p><strong>Design/methodology/approach: </strong>The authors adopted a quantitative and qualitative approach, i.e., a self-administered questionnaire, unstructured and a semi-structured interview, which were used to collect the data. A questionnaire was distributed to Bahraini residents selected randomly. The framework was based on the technology acceptance model (TAM) and theory of reasoned action (TRA). Important variables from both the TAM model and TRA theory were extracted and jointly used to build the research model.</p><p><strong>Findings: </strong>The findings indicated that the most factors affecting e-health adoption are trust, health literacy and attitude. Additionally, people in the private and government sectors understand e-health benefits.</p><p><strong>Practical implications: </strong>If healthcare professionals understand the factors affecting e-health system adoption from an individual and organisational perspective, then nurses, pharmacists and others will be more conscious about e-health and its adoption status.</p><p><strong>Originality/value: </strong>E-health system adoption has become increasingly important to governments, individuals, and researchers in recent years. A novel research framework, based on TAM and TRA, was used to produce a new integrated model.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"720-730"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2018-0106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validating the Press Ganey Questionnaire (Bahasa Melayu version).","authors":"Nur Syahmina Rasudin,&nbsp;Muhammad Akmal Izan Ahmad,&nbsp;Nooraini Hussain,&nbsp;Mohd Shaharudin Shah Che Hamah","doi":"10.1108/IJHCQA-07-2018-0169","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2018-0169","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to validate the Press Ganey Questionnaire (PGQ) (Bahasa Melayu version) using Hospital Universiti Sains Malaysia (HUSM) patients.</p><p><strong>Design/methodology/approach: </strong>This cross-sectional study comprised 252 patients visiting HUSM. Patients were selected using the convenience sampling method. The PGQ (Bahasa Melayu version) had three main factors: during your visit; your care provider and overall assessment. Data were analyzed using the structural equation modeling.</p><p><strong>Findings: </strong>The exploratory factor analysis resulted in item reduction from 21 to 17, which contained four factors with eigenvalues greater than 1. Meanwhile, confirmatory factor analysis results showed that data fitted the model: <i>χ</i>²/df at 1.764, comparative fit index at 0.952, Tucker-Lewis index at 0.941 and root mean square error of approximation at 0.073. The average variance extracted value for the four factors was greater than 0.50, which indicated that PGQ convergent validity was met. Overall, PGQ produced good reliability with composite reliability score equals to 0.966. Four factors were reclassified as \"during your registration,\" \"hospital staff attitude,\" \"doctor's attitude\" and \"overall assessment.\"</p><p><strong>Research limitations/implications: </strong>Patient satisfaction is an important and frequently used indicator for measuring healthcare quality; hence, a validated and reliable instrument is important for measuring patient satisfaction that leads to healthcare service quality assessment.</p><p><strong>Practical implications: </strong>Validated PGQ provides some useful information for doctors, medical assistants, nurses and staff in the emergency department to help them become more prominent and efficient in their role as healthcare providers.</p><p><strong>Social implications: </strong>Validated PGQ will help healthcare providers to deliver the best and exceptional care toward emergency patient, and thus improve their quality of work life. The findings in this study can be used as a guide or as baseline data for further research in this area.</p><p><strong>Originality/value: </strong>The PQG (Bahasa Melayu version) was confirmed as a reliable and valid instrument for measuring patient satisfaction. This research is the first PGQ validation study in Southeast Asia, specifically focusing on Malaysian respondents.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 3","pages":"653-658"},"PeriodicalIF":1.5,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2018-0169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37181353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The link between healthcare risk identification and patient safety culture.","authors":"Mecit Can Emre Simsekler","doi":"10.1108/IJHCQA-04-2018-0098","DOIUrl":"https://doi.org/10.1108/IJHCQA-04-2018-0098","url":null,"abstract":"<p><strong>Purpose: </strong>Risk identification plays a key role identifying patient safety risks. As previous research on risk identification practices, as applied to patient safety, and its association with safety culture is limited, the purpose of this paper is to evaluate current practice to address gaps and potential room for improvement.</p><p><strong>Design/methodology/approach: </strong>The authors carry out interview-based questionnaires in one UK hospital to investigate real-world risk identification practices with eight healthcare staff, including managers, nurses and a medical consultant. Considering various aspects from both risk identification and safety culture practices, the authors investigate how these two are interrelated.</p><p><strong>Findings: </strong>The interview-based questionnaires were helpful for evaluating current risk identification practices. While gaining significant insights into risk identification practices, such as experiences using current tools and methods, mainly retrospective ones, results also explicitly showed its link with the safety culture and highlighted the limitation in measuring the relationship.</p><p><strong>Originality/value: </strong>The interviews addressed valuable challenges affecting success in the risk identification process, including limitations in safety culture practice, training, balancing financial and safety concerns, and integrating risk information from different tools and methods.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 3","pages":"574-587"},"PeriodicalIF":1.5,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-04-2018-0098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37181356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foodservice quality in South African hospitals: patient experiences.","authors":"Lindiwe Julia Ncube,&nbsp;Maupi Eric Letsoalo","doi":"10.1108/IJHCQA-11-2017-0213","DOIUrl":"https://doi.org/10.1108/IJHCQA-11-2017-0213","url":null,"abstract":"<p><strong>Purpose: </strong>This paper presents an interpretive data analysis from a superordinate study that aimed to determine foodservice satisfaction. The purpose of this paper is to determine inpatient hospital foodservice experiences.</p><p><strong>Design/methodology/approach: </strong>The authors used secondary data obtained from 419 respondents: (225 (53.70 per cent) males, 178 (42.48 per cent) females and 16 (3.82 per cent) undisclosed) participants. A comparative, quantitative and cross-sectional approach was applied to provide insight into hospital foodservice experiences. The Wilcoxon-Mann-Whitney test, interpreted at 0.05 error rate, was used to compare male and female patient experiences.</p><p><strong>Findings: </strong>Male patients had significantly higher rank-sum scores than female patients in almost all items (<i>p</i><0.0001). The study revealed that hospital personnel, especially foodservice staff, had an unsatisfactory communication approach.</p><p><strong>Originality/value: </strong>This is the first South African study that compares female and male inpatient foodservice perceptions. Hospital managers and stakeholders may need to consider patient's gender, as a significant factor that is associated with patient experiences, when embarking on improving foodservice systems.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 3","pages":"599-610"},"PeriodicalIF":1.5,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-11-2017-0213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37181355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Customized patient clothing and patient satisfaction.","authors":"Khorshid Vaskooi-Eshkevari,&nbsp;Fatemeh Mirbazegh,&nbsp;Mojtaba Soltani-Kermanshahi,&nbsp;Mahin Sabzali-Poursarab-Saeedi,&nbsp;Sadaf Alipour","doi":"10.1108/IJHCQA-02-2018-0047","DOIUrl":"https://doi.org/10.1108/IJHCQA-02-2018-0047","url":null,"abstract":"<p><strong>Purpose: </strong>To respect the patients' physical privacy, they should be provided with proper clothing that prevents the exposure of unnecessary parts of the body. The purpose of this paper is to evaluate patient satisfaction upon wearing customized, high-coverage, procedure-specific dresses.</p><p><strong>Design/methodology/approach: </strong>New designs of clothing adapted for different kinds of procedures, and offering a good coverage of the body and easy access to the required parts were compared with regular patient clothing. Patients from six different wards of a university hospital filled out a questionnaire inquiring about general and demographic variables, and patient satisfaction was evaluated based on six main features of the clothing design. <i>p</i><0.005 was considered as the level of statistical significance.</p><p><strong>Findings: </strong>Overall, 256 patients were entered into the regular-design and new-design groups (<i>n</i>=128 in each). In Group 1 (regular design), the rate of dissatisfaction was about 98, 84, 84, 78, 77 and 38 percent for ease of wearing, comfort, design, material, coverage level and size, respectively. In Group 2 (new design), the highest satisfaction rates were associated with ease of wearing, size, coverage level, material, design and comfort as 93.7, 91.4, 89.9, 87.1, 86, and 80.5 percent, respectively.</p><p><strong>Originality/value: </strong>The present study is the first to investigate customized patient clothing and demonstrated that these clothes can improve the patients' satisfaction in terms of coverage, comfort, design and size.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 3","pages":"635-644"},"PeriodicalIF":1.5,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-02-2018-0047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37181349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking resident pre-rounding electronic health record usage.","authors":"Conrad Krawiec,&nbsp;Cristin Marker,&nbsp;Christy Stetter,&nbsp;Lan Kong,&nbsp;Neal J Thomas","doi":"10.1108/IJHCQA-06-2018-0137","DOIUrl":"https://doi.org/10.1108/IJHCQA-06-2018-0137","url":null,"abstract":"<p><strong>Purpose: </strong>Residents collect information from the electronic health record (EHR) to present during rounds, but this crucial process is understudied. The purpose of this paper is to examine the feasibility of utilizing an EHR embedded time-tracking software to quantify resident pre-round EHR activity and how patient acuity impacts this activity.</p><p><strong>Design/methodology/approach: </strong>This was a retrospective observational study that quantified resident EHR activities (total time spent, tasks performed and patient encounters accessed) during pre-rounds on their pediatric intensive care unit rotation between May 2016 and December 2016. Patient encounters were reviewed to determine resident ownership and critical care resources provided.</p><p><strong>Findings: </strong>Allo 21 eligible participants were included. In total, 907 patient encounters were included to evaluate patient acuity impact. EHR usage per patient encounter (median in minutes (25th, 75th percentile)) was significantly affected by the critical care resources utilized. Total EHR time: both ventilator and vasoactive support (10.54 (6.68, 17.19)); neither ventilator nor vasoactive support (8.23 (5.07, 12.72)); invasive/noninvasive ventilator support (8.74 (5.69, 13.2)); and vasoactive support (10.37 (7.72, 11.65)), <i>p</i><0.001. Chart review, order entry and documentation EHR times demonstrated similar trends.</p><p><strong>Practical implications: </strong>Residents spend more time utilizing the EHR to collect data on patients who require significant critical care resources. This information can be useful to determine optimal resident to patient workload. Future research is required to assess this EHR tool's ability to contribute to physician workflow study.</p><p><strong>Originality/value: </strong>EHR embedded time-tracking software can offer insights into resident workflow.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 3","pages":"611-620"},"PeriodicalIF":1.5,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-06-2018-0137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37181354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}