The effect of an electronic health record system on nursing staff time in a nursing home: a longitudinal cohort study

Munyisia, Esther Naliaka; Yu, Ping; Hailey, David

doi:10.21767/amj.2014.2072

Cited by 6 publications

(16 citation statements)

References 15 publications

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“…This finding is similar to a longitudinal work sampling study which examined the impact of an electronic health record system on nursing staff time in a high-care unit in an Australian RACH [15]. It also found that the introduction of the system might not interfere with nursing staff time on direct care…”

Section: Impact On Nurses' Time Expendituresupporting

confidence: 81%

The impact of electronic medication administration records in a residential aged care home

Qian¹,

Yu²,

Hailey³

2015

International Journal of Medical Informatics

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This study aimed to compare between electronic medication administration records and paper-based records in the nursing time spent on various activities in a medication round and the medicationadministration processes followed by nurses in an Australian residential aged care home. It also aimedto identify the benefits and unintended adverse consequences of using the electronic medication admin-istration records.Methods: Time-motion observation, taking of field notes, informal conversation and document reviewwere used to collect data in two units of a residential aged care home. Each unit had one nurse admin-ister medication. Seven nurses were observed over 12 morning shifts. Unit 1 used electronic medicationadministration records and Unit 2 used paper-based records.Results: No significant difference between the two units was found in the nursing time spent on variousactivities in a medication round, including documentation, verbal communication, medication adminis-tration, infection control and transit.Comparison of the medication administration processes between the electronic and paper-basedmedication administration records identified a procedural problem which violated the organization'sdocumentation requirement. This problem was documenting before providing medication to a residentwhen using the paper-based records. It was not observed with the electronic medication administrationrecords.Benefits of introducing the electronic medication administration records included improving nurses'compliance with documentation requirements, freedom from the error of signing twice, reducing thepossibility of forgetting to medicate a resident, facilitating nurses to record the time of medicationadministration to a resident and increasing documentation space. Unintended adverse consequencesof introducing the electronic medication administration records included inadequate information aboutresidents, late addition of a new resident's medication profile in the records and nurses' forgetting tomedicate a resident due to power outage of the portable device.Conclusions: The electronic medication administration records may not change nursing time spent onvarious activities in a medication round or substantially alter the medication administration processes,but can generate both benefits and unintended adverse consequences. Future research may investigatewhether and how the adverse consequences can be prevented.

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Section: Impact On Nurses' Time Expendituresupporting

confidence: 81%

The impact of electronic medication administration records in a residential aged care home

Qian¹,

Yu²,

Hailey³

2015

International Journal of Medical Informatics

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“…This additional environment has been a challenge due to the multiplicity of different providers in a home, the physical structure of the facilities, multiple facility organizations, and high costs of implementation and maintenance. However, EHRs in nursing homes have improved communication between providers, consultants, hospital, and nursing home staff [87], and nursing homes are increasingly introducing EHRs into nursing practice [88]. Also, EHRs are being used by home health or hospice care [89], organizations that provide care to the homeless population [90], and departments of corrections [91].…”

Section: New Functionality and Usementioning

confidence: 99%

Electronic Health Records: Then, Now, and in the Future

2016

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The current use of EHRs initiated by new technology would have been hard to foresee. Current and new EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral, and environmental data to communicate, interpret, and act intelligently upon complex healthcare information to foster precision medicine and a learning health system.

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“…The group for analysis consisted of 14 articles [24][25][26][27][28][29][30][31][32][33][34][35][36][37]. Prospective, case-control study of two nursing homes with similar demographics.…”

Section: Study Selection and Study Characteristicsmentioning

confidence: 99%

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review

Kruse¹,

Mileski²,

Syal³

et al. 2021

THC

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BACKGROUND: The prevalence of health information technology (HIT) as an adjunct to increase safety and quality in healthcare applications is well known. There is a relationship between the use of HIT and safer-prescribing practices in long-term care. OBJECTIVE: The objective of this systematic review is to determine an association between the use of HIT and the improvement of prescription administration in long-term care facilities. METHODS: A systematic review was conducted using the MEDLINE and CINAHL databases. With the use of certain key terms, 66 articles were obtained. Each article was then reviewed by two researchers to determine if the study was germane to the research objective. If both reviewers agreed with using the article, it became a source for our review. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: The researchers identified 14 articles to include in a group for analysis from North America, Europe, and Australia. Electronic health records and electronic medication administration records were the two most common forms of technological interventions (6 of 14, 43%). Reduced risk, decreased error, decreased missed dosage, improved documentation, improved clinical process, and stronger clinical focus comprised 92% of the observations. CONCLUSIONS: HIT has shown beneficial effects for many healthcare organizations. Long-term care facilities that implemented health information technologies, have shown reductions in adverse drug events caused by medication errors overall reduced risk to the organization. The implementation of new technologies did not increase the time nurses spent on medication rounds.

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The effect of an electronic health record system on nursing staff time in a nursing home: a longitudinal cohort study

Cited by 6 publications

References 15 publications

The impact of electronic medication administration records in a residential aged care home

The impact of electronic medication administration records in a residential aged care home

Electronic Health Records: Then, Now, and in the Future

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review

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