Health System Electronic Nursing Documentation Optimization

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Mary Lindsay (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: Burden associated with nursing documentation is well documented in the literature. A needs assessment at the project site identified concerns with the usability and time nursing documentation took from direct patient care. Vendor supplied timestamp data verified the project site was at the 50th percentile ranking. The redesign of the nursing reassessment section of the electronic nursing flowsheet was performed to decrease duplication, redundancy, and non-value-added tasks.\nThe redesign standardized nursing documentation to decrease burden. The results included an 11% decrease in time in minutes in hyperspace at the project site\; decrease of 88-97% time in minutes in flowsheets\; decrease of 88-97% in number of steps needed to complete reassessment documentation\; and time savings of 1.5-6.5 minutes per patient per reassessment. The project demonstrated improving the usability and functionality workflows through this evidence-based change decreased documentation time, redundancy, and click burden resulting in improved productivity. The revisions elevated the project site to the 25th percentile ranking amongst like institutions in the vendor database.

Additional Information

Publication

Other

Language: English

Date: 2023

Subjects

electronic nursing documentation\; flowsheets\; electronic health record\; keystroke level model\; reassessment\; time study\; vendor data\; nursing efficiency assessment tool\; nursing documentation\; video recording\; documentation burden\; workload\; redundancy

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