title: The influence of integrated electronic medical records and computerized nursing notes on nurses' time spent in documentation.
abstract: We investigated nurses' time spent in documentation as it relates to the use of electronic charting. A cross-sectional analysis was completed using time and motion data collected during a nursing process improvement initiative for 105 units in 55 hospitals. Ordinary least squares regression with a cluster adjustment revealed very little difference in time spent in documentation with or without the use of electronic medical records or computerized nursing notes. Nurses spent 19% of their time completing documentation, regardless of electronic charting usage, compared with all other categories of care. These findings suggest that integrated electronic medical records and computerized nursing notes do not appear to increase the time nurses spend documenting.
authors.affiliation: The Center for Studying Health System Change, Washington, DC 20002, USA. tyee@hschange.org
authors.forename: Tracy
authors.initials: T
authors.lastname: Yee
authors.forename: Jack
authors.initials: J
authors.lastname: Needleman
authors.forename: Marjorie
authors.initials: M
authors.lastname: Pearson
authors.forename: Patricia
authors.initials: P
authors.lastname: Parkerton
authors.forename: Melissa
authors.initials: M
authors.lastname: Parkerton
authors.forename: Joelle
authors.initials: J
authors.lastname: Wolstein
mesh_terms: D057286:Electronic Health Records / Q000458:organization & administration*; D006801:Humans; D009736:Nursing Process / Q000458:organization & administration*; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D013996:Time and Motion Studies