Work

An Interprofessional Approach to Clinical Workflow Evaluation Focused on the Electronic Health Record Using Time motion Study Methods.

Year: 2019

Type: article

Abstract: Documentation burden has become an increasing concern as the prevalence of electronic health records (EHRs) has grown. The implementation of a new EHR is an opportunity to measure and improve documentation burden, as well as assess the role of the EHR in clinician workflow. Time-motion observation is the preferred method for evaluating workflow. In this study, we developed and tested the reliability of an interprofessional taxonomy for use in time-motion observation of nursing and physician workflow before and after a new EHR is implemented at a large academic medical center. Inter-observer reliability assessment sessions were conducted while observing both nurses and physicians. Four out of five observers achieved reliability in an average of 5.75 sessions. Our developed taxonomy demonstrated to be reliable for conducting workflow evaluation of both nurses and physicians, with a focus on time and tasks in the EHR.

Source: PubMed Central

Authors: Jessica Schwartz, Jonathan Elias, Cody Slater, Kenrick Cato, Sarah Collins Rossetti

Institutions: Columbia University, NewYork–Presbyterian Hospital

Language: English

Topic: Electronic Health Records Systems

Subfield: Health Information Management

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute of Nursing Research

Award: Reducing Health Differences Through Informatics