The impact of electronic health record systems on clinical documentation times: A systematic review

Effective management of hospital staff time is important for quality patient care. In recent years, electronic health record (EHR) system is widely implemented, but the influence on document recording time is unknown. In this review, we compare the time spent writing documents by hospital staff (doctors, nurses, and interns) before and after EHR introduction.

With system search, 8153 possible related references were identified. In this survey we looked at the percentage of total work spent on documents whose staff's observation time was over 40 hours. Meta analysis of doctors, nurses, and interns to compare the results before and after EHR. Study weighted by observation time

28 studies met the selection criteria. 17 is EHR, 9 is EHR, 2 is 2 periods. With the implementation of EHR, the doctor's literature time is 16% (95% confidence interval (CI) 11-22%) to 28% (95% CI 19-37%), 9% of nurses (95% CI 6-9 ). 12%) to 23% (95% CI 15-32%), 20% (95% CI 7-32%) to 26% (95% CI 10-42%)

Long-term follow-up survey on the impact of EHR implementation is lacking. Although it seems to take a long time to document it if you first adjust EHR, there is evidence that as workers get used to the system, there is a possibility that the workflow will eventually improve.

Today, the main objective of this document is still support for patient care. Clinical documents are usually scanned in to the electronic system as soon as the patient is discharged. Recording completion time must meet certification and regulatory requirements. Electronic medical records are interactive, and the document has many stakeholders, reviewers, and users. Government agencies are actively reviewing medical documents as governments become increasingly involved in medical funds

Effective management of hospital staff time is important for quality patient care. In recent years, electronic health record (EHR) system is widely implemented, but the influence on document recording time is unknown. In this review, we compare the time spent writing documents by hospital staff (doctors, nurses, and interns) before and after EHR introduction. With system search, 8153 possible related references were identified. In this survey we looked at the percentage of total work spent on documents whose staff's observation time was over 40 hours. Meta analysis of doctors, nurses, and interns to compare the results before and after EHR. Study weighted by observation time

Abstract: In this systematic review, we examined the impact of electronic health records (EHR) on the recording time of doctors and nurses. 23 papers fulfilled the selection criteria, 5 were randomized controlled trials, 6 were post-test studies and 12 were pre / post designs. By using the bedside terminal and the desk top of the central station, you can save 24.5% and 23.5% of the total time nurses recorded during the shift. Using a bedside or bedside care system may cause the doctor's record time to be increased by 17.5%. In contrast, the computerized founder's order entry (CPOE) using the central station's desktop was inefficient and work hours per day increased from 98.1% to 328.6%. This review emphasizes that the goal of shortening the document creation time in the EHR project is unlikely to be achieved.