A Task-Analytic Framework Comparing Preoperative Electronic Health Record–Mediated Nursing Workflow in Different Settings.
Preoperative care is a critical, yet complex, time-sensitive process. Optimization of workflow is challenging for many reasons, including a lack of standard workflow analysis methods. We sought to comprehensively characterize electronic health record–mediated preoperative nursing workflow. We employ...
| Publicado en: | CIN: Computers, Informatics, Nursing Vol. 38; no. 6; pp. 294 - 303 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jun2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143651725&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143651725 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15382931 KXN jtl: CIN: Computers, Informatics, Nursing issn: 15382931 maglogo: N pubinfo: dt: Jun2020 vid: 38 iid: 6 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 143651725 143651725 143651725 10.1097/CIN.0000000000000588 143651725 ppf: 294 ppct: 9 formats: tig: atl: A Task-Analytic Framework Comparing Preoperative Electronic Health Record–Mediated Nursing Workflow in Different Settings. aug: au: Zheng, Lu Kaufman, David R. Duncan, Benjamin J. Furniss, Stephanie K. Grando, Adela Poterack, Karl A. Miksch, Timothy A. Helmers, Richard A. Doebbeling, Bradley N. affil: Author Affiliations: Biomedical Informatics, Arizona State University, Scottsdale (Ms Zheng, Mr Duncan, and Drs Kaufman, Furniss, Grando, and Doebbeling) sug: subj: Perioperative Nursing Preoperative Care Workflow Evaluation Electronic Health Records Task Performance and Analysis Time Factors Human Arizona Florida Qualitative Studies Multicenter Studies Conceptual Framework Observational Methods Videorecording Documentation Content Analysis Descriptive Statistics Practice Patterns Drug Administration Nursing Assessment Funding Source ab: Preoperative care is a critical, yet complex, time-sensitive process. Optimization of workflow is challenging for many reasons, including a lack of standard workflow analysis methods. We sought to comprehensively characterize electronic health record–mediated preoperative nursing workflow. We employed a structured methodological framework to investigate and explain variations in the workflow. Video recording software captured 10 preoperative cases at Arizona and Florida regional referral centers. We compared the distribution of work for electronic health record tasks and off-screen tasks through quantitative analysis. Suboptimal patterns and reasons for variation were explored through qualitative analysis. Although both settings used the same electronic health record system, electronic health record tasks and off-screen tasks time distribution and patterns were notably different across two sites. Arizona nurses spent a longer time completing preoperative assessment. Electronic health record tasks occupied a higher proportion of time in Arizona, while off-screen tasks occupied a higher proportion in Florida. The contextual analysis helped to identify the variation associated with the documentation workload, preparation of the patient, and regional differences. These findings should seed hypotheses for future optimization efforts and research supporting standardization and harmonization of workflow across settings, post–electronic health record conversion. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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