Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery.

Sarah Read-Brown, David S. Sanders, Anna S. Brown, Thomas Yackel, Dongseok Choi, Daniel Tu, Michael Chiang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Efficiency and quality of documentation are critical in surgical settings because operating rooms are a major source 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 to examine these issues because procedures are high-throughput and demand efficient documentation. This time-motion study examines nursing documentation during implementation of an EHR operating room management system in an ophthalmology department. Key findings are: (1) EHR nursing documentation time was significantly worse during early implementation, but improved to a level near but slightly worse than paper baseline, (2) Mean documentation time varied significantly among nurses during early implementation, and (3) There was no decrease in operating room turnover time or surgical volume after implementation. These findings have important implications for ambulatory surgery departments planning EHR implementation, and for research in system design.

Original languageEnglish (US)
Pages (from-to)1195-1204
Number of pages10
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2013
StatePublished - 2013

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Operating Rooms
Documentation
Nursing
Electronic Health Records
Ophthalmology
Time and Motion Studies
Ambulatory Surgical Procedures
Nurses
Efficiency
Research

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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AU - Tu, Daniel

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