The Impact of Electronic Medical Records on Nursing Efficiency

Thompson, Douglas; Johnston, Patricia K.; Spurr, Cynthia

doi:10.1097/nna.0b013e3181b9209c

Cited by 20 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, recent empirical studies examining the impact of specific EMR applications on nurse time have not found significant time savings (Franklin, O'Grady, Donyai, Jacklin, & Barber, 2007;Hakes & Whittington, 2008;Asaro & Boxerman, 2008). A recent case study found that EMR reduced total charting time by 50 to 73 minutes per nurse per 12hour shift; however, these time savings were not used to reduce staffing levels (Thompson, Johnston, & Spurr, 2009).…”

mentioning

confidence: 99%

Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence From the National Database of Nursing Quality Indicators

2010

View full text Add to dashboard Cite

Electronic medical records (EMR) have the potential to improve nursing care in the hospital setting. This study estimated the association of EMR implementation with nurse staffing levels, skill mix, contract/agency percent, and nurse-sensitive patient outcomes in U.S. hospitals. Data on nurse staffing and patient outcomes came from the 2004-2008 National Database of Nursing Quality Indicators. Data on EMR implementation came from the 2004-2008 HIMSS Analytics Database. The authors conducted a longitudinal analysis of an unbalanced panel of 3,048 medical/surgical units in 509 short-term, general acute care hospitals. EMR implementation was associated with lower total nurse hours per patient day, higher Registered Nurse percent and contract/agency percent, and higher adverse patient events in the short term. EMR may create a skill bias toward higher-skilled nurses. As more advanced EMR systems diffuse into practice, managers and policy makers should consider potential negative associations of EMR implementation with patient safety.

show abstract

mentioning

confidence: 99%

Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence From the National Database of Nursing Quality Indicators

2010

View full text Add to dashboard Cite

show abstract

“…6 Nursing documentation can become a mechanism for improvement and innovation of nursing care in the PHC, all set in a more democratic, more patient-centered way, and for sharing information among all health professionals involved in the patient's health. 7,8 We need a willing and positive motivational environment to adopt these new tools, both in the initial phase of its implementation and in the subsequent phases to be sure to provide training and support to professionals who handle the EHR.…”

Section: Introductionmentioning

confidence: 99%

New Technologies and Nursing: Use and Perception of Primary Healthcare Nurses About Electronic Health Record in Catalonia, Spain

Galimany

Garrido-Aguilar²,

Girbau-García³

et al. 2011

Telemedicine and e-Health

View full text Add to dashboard Cite

This study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) received specific training on the use of the EHR and 19.6% did not. The use of the application required side technical support (mean: 3.42) and it is considered necessary to learn more about the performance of the application (mean: 3.50). The relationship between the average ratings that nurses have about the EHR and age shows that there is no statistically significant linear relationship (r = -0.002, p-value = 0.984). As to how long they have used the EHRs, there are significant differences (r = -0.304, p-value = 0.00), so the more time the nurse takes using the EHR, the greater degree of satisfaction is shown. In addition, there are significant differences between nurses' perceptions regarding the EHR and gender (t = -0.421, p-value = 0.675). Nurses assessed as positive the contribution of the EHRs in their nursing care day work (average score: 2.55/5). Considering that the usability of the EHR device is assessed as satisfactory, the results of the perception of nurses show that we must also take into account the training and emphasize the need for a side technical support in the implementation process of the EHR. Doing so, the positive perception that nurses have in regard to information and communication technology in general and with respect to the EHR in particular may be increased.

show abstract

“…This is congruent with research examining time efficiency of nurses after technology implementation, which found time savings for certain nursing activities, such as searching for charts and order clarification. 5 As familiarity with the electronic system and new workflows increased, end-user efficiency improved over pre-CPOE efforts.…”

Section: Remediation Plan As Implementedmentioning

confidence: 99%

Computerized Provider Order Entry Awareness for Nursing

Staton¹,

Bautista²,

Harwell³

et al. 2013

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Many healthcare facilities are in the process of implementing, or planning to implement, computerized provider order entry (CPOE). In this article, we share our experience of planning for and implementing CPOE. One of our goals was to avoid unintended consequences for nurses that at best require expensive changes after implementation or worst can create unsafe situations. We are a team of nursing informaticists at a 450-bed, not-for-profit, acute-care hospital with an emergency department/level I trauma center seeing more than 300 patients per day and an average daily inpatient census of approximately 280.In our initial planning, we conducted a literature review to determine what knowledge regarding unintended consequences for nurses had already been published. We found that there was a lack of information specific to the effects on nursing of initiating CPOE. An article from the University of Illinois at Chicago, College of Nursing, 1 summarized the published literature about disruptions to nursing workflow with the implementation of clinical information systems. They concluded, as we have, that as of 2010 very little had been published about the unintended consequences to nursing, specifically in regard to CPOE implementation, and what was published did not sufficiently explain the issues or how to prevent them. We found, however, some of the communication, workflow, and workaround issues that affected providers during CPOE implementation would likely have an impact on nurses as well.Our goal was to help prepare our nurses for postimplementation workflow changes and develop a plan to prevent as many negative impacts as possible. Using several sources including the literature, provider-related information, discussions with vendors, and personnel at other sites who had previously implemented CPOE, as well as our own experience, we created a list of unintended consequences for nursing and made plans to mitigate them.After implementation, we were pleased to confirm that we had targeted the greatest areas of risk. The remediation plans presented here include the processes we put into place before and during the implementation to safeguard against identified unintended consequences. The lessons learned are our postimplementation reflections on areas we felt needed emphasis, were particularly difficult, were time consuming, or were unexpected. COMPUTERIZED PROVIDER ORDER ENTRY AWARENESS FOR NURSING: UNINTENDED CONSEQUENCES AND REMEDIATION PLAN(1) Computerized provider order entry-related workflow changes, such as actions, communications, and safeguards used to complete patient care tasks, which are not recognized prior to go-live, cause broken processes and confusion. 2

show abstract

The Impact of Electronic Medical Records on Nursing Efficiency

Cited by 20 publications

References 12 publications

Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence From the National Database of Nursing Quality Indicators

Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence From the National Database of Nursing Quality Indicators

New Technologies and Nursing: Use and Perception of Primary Healthcare Nurses About Electronic Health Record in Catalonia, Spain

Computerized Provider Order Entry Awareness for Nursing

Contact Info

Product

Resources

About