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Elizabeth Carlson1, Cathy Catrambone, Karl Oder
1College of Nursing Rush University Medical Center, Chicago, Illinois, USA. elizabeth_carlson@rush.edu
The Journal of Nursing Administration
|August 28, 2010
Summary
Choosing the right electronic health record data-entry devices is key for efficient clinical workflows. This study evaluated computers, mobile workstations, and tablets to find the best mix based on staff needs and costs.
Area of Science:
- Health Informatics
- Clinical Workflow Optimization
- Human-Computer Interaction in Healthcare
Background:
- The widespread adoption of electronic health records (EHRs) necessitates careful consideration of data-entry device selection in clinical settings.
- Optimizing data entry is crucial for efficient healthcare delivery and accurate patient information management.
- Balancing technological capabilities with user preferences and financial constraints is a significant challenge for healthcare institutions.
Purpose of the Study:
- To evaluate the effectiveness of different data-entry devices (stationary PCs, workshops on wheels, handheld tablets) for electronic health record systems.
- To determine the optimal mix of data-entry equipment for clinical units, considering staff preferences and budget limitations.
- To assess the impact of device choice on the timeliness of data entry and associated costs.
Main Methods:
- Comparative evaluation of stationary personal computers, workshops on wheels, and handheld tablets regarding data entry timeliness.
- Utilization of focus groups to gather insights into staff preferences and the advantages/disadvantages of various data-entry devices.
- Cost-benefit analysis focusing on the relationship between device selection and the timeliness of clinical data entry.
Main Results:
- Findings indicate significant differences in data entry timeliness across evaluated devices.
- Staff preferences varied, with specific devices favored for different clinical tasks and environments.
- Cost implications were directly linked to device choice and its effect on data entry efficiency.
Conclusions:
- The optimal selection of data-entry devices for electronic health records depends on a nuanced understanding of clinical workflows, staff needs, and economic factors.
- A mixed-device strategy, incorporating stationary PCs, mobile workstations, and handheld tablets, may offer the best balance of efficiency, usability, and cost-effectiveness.
- Further research into device-specific usability and long-term cost-effectiveness in diverse clinical settings is warranted.
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