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Does the implementation of a clinical information system decrease the time intensive care nurses spend on

K Saarinen1, M Aho

  • 1Department of Intensive Care Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland. kari.saarinen@epshp.fi

Acta Anaesthesiologica Scandinavica
|January 29, 2005
PubMed
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Implementing a clinical information system (CIS) in intensive care units (ICUs) slightly increased nurses' documentation time but also improved patient care time. Staffing levels should not be reduced based on this technology alone.

Area of Science:

  • Nursing Informatics
  • Healthcare Management
  • Clinical Information Systems

Background:

  • Increasing adoption of Clinical Information Systems (CIS) in Intensive Care Units (ICUs).
  • Belief that CIS reduces manual charting, freeing nurses for patient care.
  • Study conducted in a polyvalent ICU at a large Finnish central hospital.

Purpose of the Study:

  • To quantify changes in nurses' working time utilization post-CIS implementation.
  • To assess the impact of CIS on time allocation between documentation and patient care.
  • To evaluate the effect of CIS on nursing workload in an ICU setting.

Main Methods:

  • Activity analysis comparing nurse time allocation before and after CIS implementation.
  • Focus on documentation time, patient care time, and specific ICU nursing activities.

Related Experiment Videos

  • Statistical analysis of time utilization changes.

    • Main Results:

    • Total documentation time increased by 3.6% (15 min/8h shift).
    • Total patient care time increased by 5.5% (21 min/8h shift, P < 0.05).
    • Intensive care nursing activities increased by 3.7% (14 min/8h shift, P < 0.05).

    Conclusions:

    • CIS implementation led to a modest increase in documentation time, indicating a need for system optimization.
    • Observed time changes were minimal, not supporting reductions in ICU staffing.
    • Nurse experience influenced time utilization figures; overall labor demand remained constant.