A Longitudinal Study of the Effects of a Computer-Based Documentation System on Nursing Documentation

2.50
Hdl Handle:
http://hdl.handle.net/10755/154497
Type:
Presentation
Title:
A Longitudinal Study of the Effects of a Computer-Based Documentation System on Nursing Documentation
Abstract:
A Longitudinal Study of the Effects of a Computer-Based Documentation System on Nursing Documentation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Blatt, Laurie, RN
P.I. Institution Name:Bassett Health Care
Title:Clinical Systems Coordinator
Co-Authors:Renee Slade, BS, CCRN, RN; Christine Utegg, RN, BS; Jeanne-Marie E. Havener, PhD, RNCS, FNP, IBCLC
The IOM?s investigation of problems in the health care delivery system of the 1990s encouraged efforts to improve quality through major and systematic changes in the organization and delivery of health services (Naylor, 2003, p. 380). Among the recommendations cited by the Committee on Quality in Health Care in America (IOM, 1999), was the need for computer-based documentation systems to improve the efficiency and quality of health care. Based on this healthcare organizations have introduced computer-based nursing documentation systems, however, little is known about how these systems alter nursing documentation. Further, the few studies that do exist demonstrate conflicting findings. Thus, this longitudinal study aimed to better understand how introduction of a computerized documentation system altered the quality and completeness of nursing documentation in an acute care setting. Using a non-experimental, pre-test, post-test design with within and between group comparisons, documentation of key aspects of nursing care was examined prior to and following (1 month, 3 month, 6 month, and 1 year) implementation of a computer-based nursing documentation system. At each study interval a random sample of charts of patients diagnosed with one of the top five DRGs were examined. Findings indicated that nursing documentation progressively and significantly improved in a number of areas.  Further, nurses on the surgical unit consistently had greater improvements than their medical nursing counterparts. This suggests that while computer-based systems of documentation can significantly improve the efficiency and quality of nursing documentation, the systems may be better suited to some care delivery settings or groups. Findings from this study will contribute to a greater understanding of the costs versus benefits of computer-based documentation systems.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Longitudinal Study of the Effects of a Computer-Based Documentation System on Nursing Documentationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154497-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Longitudinal Study of the Effects of a Computer-Based Documentation System on Nursing Documentation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Blatt, Laurie, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Bassett Health Care</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Systems Coordinator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">laurie.blatt@bassett.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Renee Slade, BS, CCRN, RN; Christine Utegg, RN, BS; Jeanne-Marie E. Havener, PhD, RNCS, FNP, IBCLC</td></tr><tr><td colspan="2" class="item-abstract">The IOM?s investigation of problems in the health care delivery system of the 1990s encouraged efforts to improve quality through major and systematic changes in the organization and delivery of health services (Naylor, 2003, p. 380). Among the recommendations cited by the Committee on Quality in Health Care in America (IOM, 1999), was the need for computer-based documentation systems to improve the efficiency and quality of health care. Based on this healthcare organizations have introduced computer-based nursing documentation systems, however, little is known about how these systems alter nursing documentation. Further, the few studies that do exist demonstrate conflicting findings. Thus, this longitudinal study aimed to better understand how introduction of a computerized documentation system altered the quality and completeness of nursing documentation in an acute care setting.&nbsp;Using a non-experimental, pre-test, post-test design with within and between group comparisons, documentation of key aspects of nursing care was examined prior to and following (1 month, 3 month, 6 month, and 1 year) implementation of a computer-based nursing documentation system. At each study interval a random sample of charts of patients diagnosed with one of the top five DRGs were examined. Findings indicated that nursing documentation progressively and significantly improved in a number of areas.&nbsp; Further, nurses on the surgical unit consistently had greater improvements than their medical nursing counterparts. This suggests that while computer-based systems of documentation can significantly improve the efficiency and quality of nursing documentation, the systems may be better suited to some care delivery settings or groups. Findings from this study will contribute to a greater understanding of the costs versus benefits of computer-based documentation systems.</td></tr></table>en_GB
dc.date.available2011-10-26T13:02:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:02:47Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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