TimeMotion Analysis of Clinical Nursing Documentation DuringImplementation of an Electronic Operating Room Management System forOphthalmic Surgery

AMIA 2013 Annual Symposium

Sarah Read-Brown ; BA

PID  :  122552

来源: CEUR

【 摘 要 】

Efficiency and quality of documentation are critical in surgical settings because operating rooms are a majorsource of revenue, and because adverse events may have enormous consequences. Electronic health records (EHRs)have potential to impact surgical volume, quality, and documentation time.Ophthalmology is an ideal domain toexamine these issues because procedures are highthroughput and demand efficient documentation.This time motion study examines nursing documentation during implementation of an EHR operating room managementsystem in an ophthalmology department. Key findings are: (1) EHR nursing documentation time was significantlyworse during early implementation, but improved to a level near but slightly worse than paper baseline, (2) Meandocumentation time varied significantly among nurses during early implementation, and (3) There was no decreasein operating room turnover time or surgical volume after implementation.These findings have important