Difference between revisions of "EMR Benefits: Nurses"

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=== Reduced Documentation Time ===
 
=== Reduced Documentation Time ===
According to a systematic review of literature.<ref name=”Poissant 2005”>Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y. (2005). The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association, 12(5), 505-516.</ref>, nurses were able to reduce time spent on documentation by 24% using bedside EMR terminals.  This may increase nurse satisfaction and allow nurses to perform additional patient-centered care.  However, when evaluating EMR benefits and assessing return on investment (ROI) for an EMR implementation, it is best to report time savings as minutes saved per shift per nurse rather than as money saved.<ref name=”Thompson 2006”>Thompson, D. I., Osheroff, J., Classen, D., & Sittig, D. F. (2006). A review of methods to estimate the benefits of electronic medical records in hospitals and the need for a national benefits database. Journal of healthcare information management: JHIM, 21(1), 62-68.</ref>  A reduction in nursing staff may not be possible even with the increased documentation efficiency.  Any reduction in cost of care may need to be derived from improved patient outcomes or reduced lengths of stay.
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According to a systematic review of literature.<ref name=”Poissant 2005”>Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y. (2005). The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association, 12(5), 505-516.</ref>, nurses were able to reduce time spent on documentation by 24% using bedside EMR terminals.  This may increase nurse satisfaction and allow nurses to perform additional patient-centered care.  However, when evaluating EMR benefits and assessing return on investment (ROI) for an EMR implementation, it is best to report time savings as minutes saved per shift per nurse rather than as money saved.<ref name=”Thompson 2006”>Thompson, D. I., Osheroff, J., Classen, D., & Sittig, D. F. (2006). A review of methods to estimate the benefits of electronic medical records in hospitals and the need for a national benefits database. Journal of healthcare information management: JHIM, 21(1), 62-68.</ref>  A reduction in nursing staff may not be possible even with the increased documentation efficiency.  Any reduction in cost of care may need to be derived from improved patient outcomes or reduced lengths of stay. However, demonstration of such a causal effect would be difficult and any cost savings may be realized by payers or patients rather than the hospital system. .<ref name=”Kuashal 2006”> Kaushal, R., Jha, A. K., Franz, C., Glaser, J., Shetty, K. D., Jaggi, T., ... & Brigham and Women's Hospital CPOE Working Group. (2006). Return on investment for a computerized physician order entry system. Journal of the American Medical Informatics Association, 13(3), 261-266.</ref>
  
 
== References ==
 
== References ==

Revision as of 15:20, 13 September 2015

Nurse Satisfaction

Majority of nurses reported that EMR allowed them to better monitor patient progress and finish work faster.[1]

Advantages

[1]

  • A single consolidated record for each person
  • Capacity for data interfaces and alerts
  • Improved interdisciplinary communication
  • Evidence-based decision support
  • EMRs can add to work complexity, by forcing better documentation of previously unrecorded data and/or because of poor design

Reduced Documentation Time

According to a systematic review of literature.[2], nurses were able to reduce time spent on documentation by 24% using bedside EMR terminals. This may increase nurse satisfaction and allow nurses to perform additional patient-centered care. However, when evaluating EMR benefits and assessing return on investment (ROI) for an EMR implementation, it is best to report time savings as minutes saved per shift per nurse rather than as money saved.[3] A reduction in nursing staff may not be possible even with the increased documentation efficiency. Any reduction in cost of care may need to be derived from improved patient outcomes or reduced lengths of stay. However, demonstration of such a causal effect would be difficult and any cost savings may be realized by payers or patients rather than the hospital system. .[4]

References

  1. Likourezos, A., Chalfin, D. B., Murphy, D. G., Sommer, B., Darcy, K., & Davidson, S. J. (2004). Physician and nurse satisfaction with an electronic medical record system. The Journal of emergency medicine, 27(4), 419-424.
  2. Poissant, L., Pereira, J., Tamblyn, R., & Kawasumi, Y. (2005). The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association, 12(5), 505-516.
  3. Thompson, D. I., Osheroff, J., Classen, D., & Sittig, D. F. (2006). A review of methods to estimate the benefits of electronic medical records in hospitals and the need for a national benefits database. Journal of healthcare information management: JHIM, 21(1), 62-68.
  4. Kaushal, R., Jha, A. K., Franz, C., Glaser, J., Shetty, K. D., Jaggi, T., ... & Brigham and Women's Hospital CPOE Working Group. (2006). Return on investment for a computerized physician order entry system. Journal of the American Medical Informatics Association, 13(3), 261-266.

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