Accepted for/Published in: JMIR Human Factors
Date Submitted: May 18, 2021
Open Peer Review Period: May 18, 2021 - Jul 13, 2021
Date Accepted: Oct 8, 2021
(closed for review but you can still tweet)
Electronic Records with Tablets at the Point of Care in an Internal Medicine Unit: Before After Time Motion Study
ABSTRACT
Background:
There are many benefits of nursing professionals being able to consult and record electronic clinical histories [ECH] at the point of care. It promotes quality and patient security, communication, continuity of care and time dedicated to records.
Objective:
This project evaluates the impact of having nursing records on electronic tablets at the patient’s bedside in relation to the time dedicated to the records.
Methods:
A before after single branch trial study was carried out in the internal medicine unit. A total of 130 observations of 2 to 3 hours duration were made. We calculated the time dedicated to measuring key patient signs, patient evaluation and ECH recording. The main variable was time spent per patient.
Results:
The analysis results for the whole sample show significant differences 0.44±0.13 min [w=-3.208, p=0.001] in the time dedicated to each patient. The findings showed a reduction in time spent on records when the tablets were used because transcription, latency time and displacements were no longer necessary.
Conclusions:
There were different results for the different work shifts. It could have been due to multiple factors that can develop in any care situation in complex organisations like hospitals.
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Copyright
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