Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 25:2020:1402-1411.
eCollection 2020.

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

Lu Zheng  1 , Benjamin J Duncan  1 , David R Kaufman  2 , Stephanie K Furniss  1   3 , Adela Grando  1   3 , Karl A Poterack  3   4 , Richard A Helmers  5 , Timothy A Miksch  3 , Brad N Doebbeling  1   3
Affiliations

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

Lu Zheng et al. AMIA Annu Symp Proc. .

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.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Time Distribution of EHR tasks and off-screen tasks by percentage
Figure 1.
Figure 1.
Timebelt of the patient cases. Each belt represents one patient case. The different colors represent different tasks. The length of each sections is proportional to the time duration in the unit of second. The sequence of sections is aligned with the real observed task sequence from the videos.
See this image and copyright information in PMC

References

    1. Carayon P, Wetterneck TB, Alyousef B, Brown RL, Cartmill RS Mc, Guire K, et al. Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit. Int J Med Inform. 2015 Aug;84(8):578–94. - PMC - PubMed
    1. Harrington L. Electronic Health Record Workflow: Why More Work Than Flow? AACN Adv Crit Care. 2015 Jan 1;26(1):5–9. - PubMed
    1. Nanji KC, Bates DW. Evaluation of Perioperative Medication Errors and Adverse Drug Events. PERIOPERATIVE MEDICINE. p. 10. - PMC - PubMed
    1. Documenting Excellence for Magnet: 4 Strategies for Success - Association of periOperative Registered Nurses [Internet] [cited 2019 Sep 6]. Available from: https://www.aorn.org/about-aorn/aorn-newsroom/or-exec-newsletter/2017/20... .
    1. Laine C, Williams SV, Wilson JF. In the clinic. Preoperative evaluation. Ann Intern Med. 2009 Jul;151(1) :ITC1-15, quiz ITC16. - PubMed

LinkOut - more resources