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Keywords

EMR Benefit Realization, Information System Benefit Realization, Nurse Documentation Time, Nurse Efficiency and Documentation, Nurse Utilization, Work Sampling of Nurse Documentation Time

 

Authors

  1. HAKES, BRIAN MBA
  2. WHITTINGTON, JOHN MD

Abstract

Work sampling measured nurse documentation time before and after the implementation of an electronic medical record on a medical-surgical nursing unit. Documentation was separated into subprocesses of admissions, discharges, and routine/daily documentations. Production rate of documentation time is defined and measured. The results indicate that there is no difference in documentation time between pre-electronic medical record and post-electronic medical record for admissions and routine/daily documentation time. Post-electronic medical record documentation time was longer than that in the pre-electronic medical record for patients discharged to a nursing home. It was demonstrated that the electronic medical record may reduce documentation time after the adoption of computerized physician order entry.