Annotated Bibliography
Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y.(2005). A systematic review: “The impact of electronic health records on time efficiency of physicians and nurses” journal of the American Medical Informatics Association 12(5); 505-516 (Oct. 2005) retrieved June 29, 2014 http://www.ncbi.nlm.nih.gov/pmc/articles/pmc205599.
This article provided a systematic review of the literature to examine the impact of electronic health records (EHRs) on documentation time of physicians and nurses and to identify factors that may explain efficiency differences across studies. The electronic health record (EHR) is increasingly being deployed within health care organizations to improve the safety and quality of care1 and to achieve these goals …show more content…
the EHR must be used by clinicians. It should be noted that nurses spend the majority of their time providing direct care to patients and hope that an EHR could increase this patient-interaction time and consequently the quality of care delivered2. These authors started these studies with reading of 628 abstracts, 63 were reviewed and 40 failed to meet minimum requirement for review and 23 meet the final criteria. 11 studies examined the impact of EHRs on time efficiencies of nurse. The use of bedside terminals and central station desktops saved nurses, respectively, 24.5% and 23.5% of their overall time spent documenting during a shift. Among all studies, six reported a reduction in documentation time when using a computer. Among those, the relative time differences ranged from −2.1% to −45.1% and each of these studies assessed the time efficiency of bedside terminals or computerized systems that were accessible through either bedside terminals or central station desktops. I could figure out that nurses gain more time efficiently by using the computer system, the use has reduce the time devoted for end of shift report.
These authors are learners in medicine, clinical epidemiology and health informatics and they have used their expertise to research into the efficiency of the EHRs to nurse. They are able to meet their goal of convincing people that EHR is effective, fast and cost saving for hospital charting than paper charting.
This article is a good study for comparing computer charting to paper charting and can be used to prove to nurses who are not ready for the new change of computer charting.
Thompson, D; Johnston, P; & Spurr, Cynthia (2009):“The impact of EMR on nursing efficiency” journal of nursing administration”, 2009; 39(10):441 – 451 retrieve June 29, 2014 from www.nenic.org/assets/documents/EMRs_ImpactNsgEfficiencyMarch2010.pdf The authors review the literature and describe the benefits to be achieved in nursing efficiency with the use of EMRs and learning on how to achieve the efficiencies and benefits.
The authors said the overall safety and effectiveness of technology in health care ultimately depend on its m human users and I do agreed with them that any form of technology may adversely affect the quality and safety of care if it is designed or implemented improperly or is misinterpreted. Lots of money has been allocated to this program by American Recovery and Reinvestment Act (ARRA) and HITECH to develop the foundation for the adoption and incentives to providers who are meaningful users. With Technology Drill Down (TD2) 8 major workflow categories that can benefit from this technology are identified and to achieve their goals a 36 hospital time motion study was done and 3 main targets are identified for improving the efficiency of nursing care documentation, care coordination and medication administration and it was found out that change in technology, work processes and unit organization and design may allow for substantial improvements in the use of nurses’ time. This study was carried out using Texas Health Resources case study which has 13 hospitals 3100 beds and 1800 employees at the end it was founded out that some activities did not meet time saving expectations and this is due to lack of proper attention to workflow, poor organization of electronic information and insufficient …show more content…
ongoing training to maintain efficient and effective outcomes from the use of the system. Above all, the system has come to stay. According to Victor Hugo, 1852 he said an invasion of armies can be resisted, but not an idea whose time has come. These authors are intellectuals’ business analyst and advisors who have identify factors leading to success or failure of achieving electronic medical record and illustrated using case study. Blumenthal, D. MD. M.P.P. & Tavenner, M. RN. M.H.A. (2010): The “Meaningful Use” Regulation for Electronic Health Records N. Eng/ J Med 2010 363: 501 – 504 ( August 5, 2010) DOI: 10.1056/NEJMp 1006114 retrieved from www.nejm.og The authors review the literature on EHR/EMR. They emphasized that EHRs are means to help improve the quality of medical care in the country and that use is inevitable because it will help to improve caregivers’ decisions and patients’ outcomes. The Federal government provided the health care community with transformational opportunity to break through the barriers to progress by giving financial incentives for these to materialized. They further said the Health Information Technology for Economic and Clinic Health Act (HITECH) authorized incentives payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve specified improvements in care delivery. They made it known that through HITECH the government will give up to $44,000 available through Medicare and $63,750 through Medicaid per clinician. The main purpose of all these is to have a meaningful use of EHRs. I agreed with the regulation on the 23 objectives for hospital and 25 for clinicians things they will do with EHRs before they can be considered to be meaningful users in 2011 and 2012. The authors now decided to narrow the objectives to two groups: first group constitutes the starting point for meaningful use of EHRs to support improved health care, this include the entry of basic data: patients’ vital signs and demographic, active medications and allergies, up-to-date problem lists of current and active diagnoses, and smoke status. It also involves the use of several software applications that begin to realize the true potential of EHRs to improve the safety, quality and efficiency of care. The second group consists of a menu of 10 additional tasks, in which providers will choose any 5 to implement in 2011-2012 and this gives the providers the choice to pick their own path toward full HER implementation and meaningful use. They concluded by saying the DHHS is trying to assist providers in adopting qualified EHRs and making meaningful use of them by establishing nationwide network of Regional Extension Centers.
The authors, Blumenthal, D. is the national coordinator for health information technology at the Department of Health and Human Services, and Ms. Tavenner, M. is the principal deputy administrator of the Centers for Medicare and Medicaid Services – both in Washington, DC.
Abdullahi, F., Doan, P., Edwards, C., Kim, J., & Thompson, L.: Electronic Medical Records and nursing efficiency (2009 ) retrieved June 29, 2014 essentiavitae1.com/dnpPortfolio11/IThompson/documents/HSM5003.pdf
The authors reviewed in their article that across our nation healthcare organizations are beginning to implement electronic medical records from paper medical records, which have been the standard of clinical documentation for centuries. The advantages of an EMR are many, such as the consolidation of patient medical information into a single record across the healthcare continuum (Robles, 2009). Further, evidence demonstrates that EMRs improve the quality of patient care by improving legibility, enhancing communication among caregivers, decreasing medication errors and improving clinical work flows as well as billing processes. There are many benefits of EMRs for nursing, including accessibility to information which can be downloaded directly onto other hardware such as a personal data assistant (PDA). The authors noted that there are some resistant from some nurses who believe the EMRs has come to take their work especially the old nurses. All nurses have to adapt to the change from paper to electronic documentation because it is a requirement for employment. Young nurses who have grown up with technology accept this change easily and may even consider an organization not using
EMRs as “behind the times.” It should be noted that nurses utilize technology in the clinical setting from blood pressure monitors to thermometers and now documentation.
The authors established to managers that EMRs enhance nursing efficiency by saving nurses time through a survey done. It has done through 6 managers. Six nurse managers were surveyed, three from outpatient facilities and three from inpatient facilities. The average age of nurses who reported to the nurse managers are in their mid 40s. 67% of the managers reported an Electronic Medical Records 8 overwhelming score of 8 on a scale of 0 to 10, 10 being the most efficient, regarding their perceived effectiveness of EMRs on nursing efficiency. Five out of the six managers or 83% reported that their goals were met related to their perceived effectiveness of the EMRs. Another 83% reported EMRs had a perceived positive effect on their nursing efficiency. In conclusion, the authors’ who are intellectual from Texas Women University realized an average time saved of 41 minutes, as perceived by nurse managers, will equate to hundreds of hours saved depending on the facility. According to the study, the perceived efficiency and benefits of the EMR system can have positive ramifications on US healthcare which will facilitate management processes and functions.
Orlovsky, C., The endless nursing benefits of electronic medical records retrieved June 29, 2014 www.nursezone.com/nursing-news-events/devicesandtechnology the author noted that America’s hospital are into the electronic age and nurses are beginning to recognize the benefits the EMR provides both to their profession and patients.
Some health care industry are slower in replacing paper records with electronic ones. She said despite the advantages it has some barriers which include upgrading the technology of current systems and getting everyone on the same page, as well as the fact that there is no universal electronic health record system, but rather hundreds for hospital to choose from will only be overcome if a multidisciplinary team of health care professionals works together to make sure the systems meet everyone’s need. “One of the reasons for nurses to embrace the technology is that electronic medical records help improve the level and consistency of patient care” Pat Wise MSN,RN, vice president of electronic health records for the Healthcare Information and Management Systems Society
(HIMSS).
The author, a senior staff writer at nursezone.com, concluded by saying the most useful element of EMRs for nurses is their capacity to possess every bit of information about a patient in on e centralized place. They can alert nurses to a patient’s medication allergies and medical history without the patient having to remember. The ultimate goal of EMRs, Wise explained, is that a patient will be able to go to a new facility- either across the country or down the street from his primary care facility- and his records will travel electronically with him, allowing the provider instant access to his information.
References: 1. Committee on Data Standards for Patient Safety, Board on Health Services, Institute of Medicine of the National Academies. Key Capabilities of an Electronic Health Record System: Letter Report. Report 2004. 2. Abdullahi, F., Doan, P., Edwards, C., Kim, J., & Thompson, L.: Electronic Medical Records and nursing efficiency ( 2009) essentiavitae1.com/dnpPortfolio11/IThompson/documents/HSM5003. 3. Robles, J. (2009, January). The Effect of the Electronic Medical Record on Nurses ' Work. Creative Nursing, 15(1), 31-35.(2009) 4. Blumenthal, D. M.D. M.P.P and Tavenner, M. R.N. M.H.A.(2010): The “Meaningful Use” Regulation for Electronics Health Records N.Engl J Med 2010; 363; 501-504/August 5, 2010/DOI: 10.1056/NEJMp 1006114 5. Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y.(2005). A systematic review: “The impact of electronic health records on time efficiency of physicians and nurses” journal of the American Medical Informatics Association 12(5); 505-516 (Oct. 2005) http://www.ncbi.nlm.nih.gov/pmc/articles/pmc205599
This article provided a systematic review of the literature to examine the impact of electronic health records (EHRs) on documentation time of physicians and nurses and to identify factors that may explain efficiency differences across studies. The electronic health record (EHR) is increasingly being deployed within health care organizations to improve the safety and quality of care1 and to achieve these goals …show more content…
the EHR must be used by clinicians. It should be noted that nurses spend the majority of their time providing direct care to patients and hope that an EHR could increase this patient-interaction time and consequently the quality of care delivered2. These authors started these studies with reading of 628 abstracts, 63 were reviewed and 40 failed to meet minimum requirement for review and 23 meet the final criteria. 11 studies examined the impact of EHRs on time efficiencies of nurse. The use of bedside terminals and central station desktops saved nurses, respectively, 24.5% and 23.5% of their overall time spent documenting during a shift. Among all studies, six reported a reduction in documentation time when using a computer. Among those, the relative time differences ranged from −2.1% to −45.1% and each of these studies assessed the time efficiency of bedside terminals or computerized systems that were accessible through either bedside terminals or central station desktops. I could figure out that nurses gain more time efficiently by using the computer system, the use has reduce the time devoted for end of shift report.
These authors are learners in medicine, clinical epidemiology and health informatics and they have used their expertise to research into the efficiency of the EHRs to nurse. They are able to meet their goal of convincing people that EHR is effective, fast and cost saving for hospital charting than paper charting.
This article is a good study for comparing computer charting to paper charting and can be used to prove to nurses who are not ready for the new change of computer charting.
Thompson, D; Johnston, P; & Spurr, Cynthia (2009):“The impact of EMR on nursing efficiency” journal of nursing administration”, 2009; 39(10):441 – 451 retrieve June 29, 2014 from www.nenic.org/assets/documents/EMRs_ImpactNsgEfficiencyMarch2010.pdf The authors review the literature and describe the benefits to be achieved in nursing efficiency with the use of EMRs and learning on how to achieve the efficiencies and benefits.
The authors said the overall safety and effectiveness of technology in health care ultimately depend on its m human users and I do agreed with them that any form of technology may adversely affect the quality and safety of care if it is designed or implemented improperly or is misinterpreted. Lots of money has been allocated to this program by American Recovery and Reinvestment Act (ARRA) and HITECH to develop the foundation for the adoption and incentives to providers who are meaningful users. With Technology Drill Down (TD2) 8 major workflow categories that can benefit from this technology are identified and to achieve their goals a 36 hospital time motion study was done and 3 main targets are identified for improving the efficiency of nursing care documentation, care coordination and medication administration and it was found out that change in technology, work processes and unit organization and design may allow for substantial improvements in the use of nurses’ time. This study was carried out using Texas Health Resources case study which has 13 hospitals 3100 beds and 1800 employees at the end it was founded out that some activities did not meet time saving expectations and this is due to lack of proper attention to workflow, poor organization of electronic information and insufficient …show more content…
ongoing training to maintain efficient and effective outcomes from the use of the system. Above all, the system has come to stay. According to Victor Hugo, 1852 he said an invasion of armies can be resisted, but not an idea whose time has come. These authors are intellectuals’ business analyst and advisors who have identify factors leading to success or failure of achieving electronic medical record and illustrated using case study. Blumenthal, D. MD. M.P.P. & Tavenner, M. RN. M.H.A. (2010): The “Meaningful Use” Regulation for Electronic Health Records N. Eng/ J Med 2010 363: 501 – 504 ( August 5, 2010) DOI: 10.1056/NEJMp 1006114 retrieved from www.nejm.og The authors review the literature on EHR/EMR. They emphasized that EHRs are means to help improve the quality of medical care in the country and that use is inevitable because it will help to improve caregivers’ decisions and patients’ outcomes. The Federal government provided the health care community with transformational opportunity to break through the barriers to progress by giving financial incentives for these to materialized. They further said the Health Information Technology for Economic and Clinic Health Act (HITECH) authorized incentives payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve specified improvements in care delivery. They made it known that through HITECH the government will give up to $44,000 available through Medicare and $63,750 through Medicaid per clinician. The main purpose of all these is to have a meaningful use of EHRs. I agreed with the regulation on the 23 objectives for hospital and 25 for clinicians things they will do with EHRs before they can be considered to be meaningful users in 2011 and 2012. The authors now decided to narrow the objectives to two groups: first group constitutes the starting point for meaningful use of EHRs to support improved health care, this include the entry of basic data: patients’ vital signs and demographic, active medications and allergies, up-to-date problem lists of current and active diagnoses, and smoke status. It also involves the use of several software applications that begin to realize the true potential of EHRs to improve the safety, quality and efficiency of care. The second group consists of a menu of 10 additional tasks, in which providers will choose any 5 to implement in 2011-2012 and this gives the providers the choice to pick their own path toward full HER implementation and meaningful use. They concluded by saying the DHHS is trying to assist providers in adopting qualified EHRs and making meaningful use of them by establishing nationwide network of Regional Extension Centers.
The authors, Blumenthal, D. is the national coordinator for health information technology at the Department of Health and Human Services, and Ms. Tavenner, M. is the principal deputy administrator of the Centers for Medicare and Medicaid Services – both in Washington, DC.
Abdullahi, F., Doan, P., Edwards, C., Kim, J., & Thompson, L.: Electronic Medical Records and nursing efficiency (2009 ) retrieved June 29, 2014 essentiavitae1.com/dnpPortfolio11/IThompson/documents/HSM5003.pdf
The authors reviewed in their article that across our nation healthcare organizations are beginning to implement electronic medical records from paper medical records, which have been the standard of clinical documentation for centuries. The advantages of an EMR are many, such as the consolidation of patient medical information into a single record across the healthcare continuum (Robles, 2009). Further, evidence demonstrates that EMRs improve the quality of patient care by improving legibility, enhancing communication among caregivers, decreasing medication errors and improving clinical work flows as well as billing processes. There are many benefits of EMRs for nursing, including accessibility to information which can be downloaded directly onto other hardware such as a personal data assistant (PDA). The authors noted that there are some resistant from some nurses who believe the EMRs has come to take their work especially the old nurses. All nurses have to adapt to the change from paper to electronic documentation because it is a requirement for employment. Young nurses who have grown up with technology accept this change easily and may even consider an organization not using
EMRs as “behind the times.” It should be noted that nurses utilize technology in the clinical setting from blood pressure monitors to thermometers and now documentation.
The authors established to managers that EMRs enhance nursing efficiency by saving nurses time through a survey done. It has done through 6 managers. Six nurse managers were surveyed, three from outpatient facilities and three from inpatient facilities. The average age of nurses who reported to the nurse managers are in their mid 40s. 67% of the managers reported an Electronic Medical Records 8 overwhelming score of 8 on a scale of 0 to 10, 10 being the most efficient, regarding their perceived effectiveness of EMRs on nursing efficiency. Five out of the six managers or 83% reported that their goals were met related to their perceived effectiveness of the EMRs. Another 83% reported EMRs had a perceived positive effect on their nursing efficiency. In conclusion, the authors’ who are intellectual from Texas Women University realized an average time saved of 41 minutes, as perceived by nurse managers, will equate to hundreds of hours saved depending on the facility. According to the study, the perceived efficiency and benefits of the EMR system can have positive ramifications on US healthcare which will facilitate management processes and functions.
Orlovsky, C., The endless nursing benefits of electronic medical records retrieved June 29, 2014 www.nursezone.com/nursing-news-events/devicesandtechnology the author noted that America’s hospital are into the electronic age and nurses are beginning to recognize the benefits the EMR provides both to their profession and patients.
Some health care industry are slower in replacing paper records with electronic ones. She said despite the advantages it has some barriers which include upgrading the technology of current systems and getting everyone on the same page, as well as the fact that there is no universal electronic health record system, but rather hundreds for hospital to choose from will only be overcome if a multidisciplinary team of health care professionals works together to make sure the systems meet everyone’s need. “One of the reasons for nurses to embrace the technology is that electronic medical records help improve the level and consistency of patient care” Pat Wise MSN,RN, vice president of electronic health records for the Healthcare Information and Management Systems Society
(HIMSS).
The author, a senior staff writer at nursezone.com, concluded by saying the most useful element of EMRs for nurses is their capacity to possess every bit of information about a patient in on e centralized place. They can alert nurses to a patient’s medication allergies and medical history without the patient having to remember. The ultimate goal of EMRs, Wise explained, is that a patient will be able to go to a new facility- either across the country or down the street from his primary care facility- and his records will travel electronically with him, allowing the provider instant access to his information.
References: 1. Committee on Data Standards for Patient Safety, Board on Health Services, Institute of Medicine of the National Academies. Key Capabilities of an Electronic Health Record System: Letter Report. Report 2004. 2. Abdullahi, F., Doan, P., Edwards, C., Kim, J., & Thompson, L.: Electronic Medical Records and nursing efficiency ( 2009) essentiavitae1.com/dnpPortfolio11/IThompson/documents/HSM5003. 3. Robles, J. (2009, January). The Effect of the Electronic Medical Record on Nurses ' Work. Creative Nursing, 15(1), 31-35.(2009) 4. Blumenthal, D. M.D. M.P.P and Tavenner, M. R.N. M.H.A.(2010): The “Meaningful Use” Regulation for Electronics Health Records N.Engl J Med 2010; 363; 501-504/August 5, 2010/DOI: 10.1056/NEJMp 1006114 5. Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y.(2005). A systematic review: “The impact of electronic health records on time efficiency of physicians and nurses” journal of the American Medical Informatics Association 12(5); 505-516 (Oct. 2005) http://www.ncbi.nlm.nih.gov/pmc/articles/pmc205599