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Delayed EHR availability of vital signs is associated with nursing shift structure
Patrick G Lyons1, Brenna Park-Egan2, Tanuj Devara2
1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA. lyonspa@ohsu.edu.
Abstract:
Delayed EHR availability of vital signs may jeopardize patient safety and data integrity. In 11.4 million measurements from 26,479 encounters, median measurement-to-validation lag ranged 12-25 minutes across locations; one-third of abnormal values were delayed over an hour. Lag peaked before nursing shift changes, including in settings with device-EHR integration. These findings implicate workforce-driven workflow, rather than technical failure, as a primary barrier to real-time surveillance and health system responsiveness.
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