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Related Experiment Video

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Work-practice changes associated with an electronic emergency department whiteboard.

Morten Hertzum¹, Jesper Simonsen

¹Roskilde University, Denmark. mhz@ruc.dk

Health Informatics Journal

|March 15, 2013

Summary

Electronic whiteboards in emergency departments (EDs) increased time nurses, but not physicians, spent with patients. Implementation factors significantly influenced these work practice changes.

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Area of Science:

Healthcare Management
Clinical Informatics
Nursing Practice

Background:

Emergency departments (EDs) face challenges in optimizing clinician workflow and patient interaction.
Electronic whiteboards are increasingly adopted to enhance communication and efficiency in healthcare settings.

Purpose of the Study:

To evaluate the impact of electronic whiteboards on the time physicians and nurses spend in patient rooms versus at the control desk in an ED.
To understand how electronic whiteboards influence clinical work practices and mental workload.

Main Methods:

Observational study comparing time allocation before and after electronic whiteboard implementation in an ED.
Data collection on time spent in patient rooms and at the control desk by physicians and nurses.
Qualitative assessment of implementation factors and clinician experience.

Main Results:

Nurses significantly increased time spent in patient rooms (28%) after four months, while physicians did not (20%).
Observed changes were contingent on implementation specifics, existing workflows, and staff experience.
Distributed access to whiteboard information did not reduce the coordinating nurse's mental workload as anticipated.

Conclusions:

Electronic whiteboards can alter nurse-patient interaction time in EDs, but physician impact is less clear.
Successful integration requires addressing implementation challenges and tailoring to specific clinical environments.
Enhanced whiteboard functionality and robust implementation strategies are needed for broader workflow improvements.