Literature DB >> 33936516

EHR Conversion on the PreOp Care: A Pre-Post Workflow Comparison.

Lu Zheng1, Benjamin J Duncan1, David R Kaufman2, Stephanie K Furniss1,3, Adela Grando1,3, Karl A Poterack3,4, Richard A Helmers5, Timothy A Miksch3, Brad N Doebbeling1,3.   

Abstract

The impact of EHRs conversion on clinicians' daily work is crucial to evaluate the success of the intervention for Hospitals and to yield valuable insights into quality improvement. To assess the impact of different EHR systems on the preoperative nursing workflow, we used a structured framework combining quantitative time and motion study and qualitative cognitive analysis to characterize, visualize and explain the differences before and after an EHR conversion. The results showed that the EHR conversion brought a significant decrease in the patient case time and a reduced percentage of time using EHR. PreOp nurses spent a higher proportion of time caring for the patient, while the important tasks were completed in a more continuous pattern after the EHR conversion. The workflow variance was due to different nurse's cognitive process and the task time change was reduced because of some new interface features in the new EHR systems. ©2020 AMIA - All rights reserved.

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Year:  2021        PMID: 33936516      PMCID: PMC8075530     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  30 in total

Review 1.  Traversing the many paths of workflow research: developing a conceptual framework of workflow terminology through a systematic literature review.

Authors:  Kim M Unertl; Laurie L Novak; Kevin B Johnson; Nancy M Lorenzi
Journal:  J Am Med Inform Assoc       Date:  2010 May-Jun       Impact factor: 4.497

2.  Quantifying the impact of health IT implementations on clinical workflow: a new methodological perspective.

Authors:  Kai Zheng; Hilary M Haftel; Ronald B Hirschl; Michael O'Reilly; David A Hanauer
Journal:  J Am Med Inform Assoc       Date:  2010 Jul-Aug       Impact factor: 4.497

Review 3.  In the clinic. Preoperative evaluation.

Authors:  Christine Laine; Sankey V Williams; Jennifer F Wilson
Journal:  Ann Intern Med       Date:  2009-07-07       Impact factor: 25.391

4.  Physician Information Needs and Electronic Health Records (EHRs): Time to Reengineer the Clinic Note.

Authors:  Richelle J Koopman; Linsey M Barker Steege; Joi L Moore; Martina A Clarke; Shannon M Canfield; Min S Kim; Jeffery L Belden
Journal:  J Am Board Fam Med       Date:  2015 May-Jun       Impact factor: 2.657

5.  Impact of Healthcare Information Technology on Nursing Practice.

Authors:  Ronald J Piscotty; Beatrice Kalisch; Angel Gracey-Thomas
Journal:  J Nurs Scholarsh       Date:  2015-05-06       Impact factor: 3.176

6.  Electronic health record workflow: why more work than flow?

Authors:  Linda Harrington
Journal:  AACN Adv Crit Care       Date:  2015 Jan-Mar

7.  Improving Preoperative Throughput.

Authors:  Jennifer Franklin; Tony Franklin
Journal:  J Perianesth Nurs       Date:  2016-05-20       Impact factor: 1.084

8.  Nurses' Perception of Challenges in the Use of an Electronic Nursing Documentation System.

Authors:  Khadijeh Heidarizadeh; Maryam Rassouli; Houman Manoochehri; Mansoureh Zagheri Tafreshi; Reza Kashef Ghorbanpour
Journal:  Comput Inform Nurs       Date:  2017-11       Impact factor: 1.985

9.  Evaluation of Perioperative Medication Errors and Adverse Drug Events.

Authors:  Karen C Nanji; Amit Patel; Sofia Shaikh; Diane L Seger; David W Bates
Journal:  Anesthesiology       Date:  2016-01       Impact factor: 7.892

10.  More screen time, less face time - implications for EHR design.

Authors:  Onur Asan; Paul D Smith; Enid Montague
Journal:  J Eval Clin Pract       Date:  2014-05-19       Impact factor: 2.431

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