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Bedside terminals and quality of nursing documentation
P B Marr1, E Duthie, K S Glassman
1Hospital Information Systems Department, New York University Medical Center, NY 10016.
Summary
Bedside computer terminals had minimal impact on nursing documentation quality. Nurses rarely used terminals in patient rooms, sometimes documenting in other patients' rooms instead.
Area of Science:
- Health Informatics
- Nursing Informatics
- Medical Technology
Background:
- Assessing the impact of technology in healthcare settings is crucial for improving patient care and operational efficiency.
- Computerized nursing documentation aims to enhance the timeliness and completeness of patient records.
Purpose of the Study:
- To evaluate the effect of bedside terminals on the quality of nursing documentation.
- To determine if the presence of computers in patient rooms improves documentation timeliness and completeness.
Main Methods:
- A before-after parallel control-group design was employed.
- The study was conducted at New York University Medical Center.
- Nursing documentation quality was assessed based on timeliness and completeness.
Main Results:
- The study hypothesis was not supported; bedside terminals did not positively correlate with improved documentation quality.
- Minimal utilization of computer terminals located within patient rooms was observed.
- A notable finding was the use of terminals in locations other than the patient's own room for documentation.
Conclusions:
- Bedside terminals, as implemented, did not enhance nursing documentation quality.
- Further investigation is needed to understand the factors influencing the adoption and effective use of in-room computer technology in nursing.
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