The Influence of Integrated Electronic Medical Records and Computerized Nursing Notes on Nurses' Time Spent in Documentation

Published In: CIN, Computers Informatics Nursing, v. 30, no. 6, June 2012, p. 287-292

Posted on on January 01, 2012

by Tracy Yee, Jack Needleman, Marjorie L. Pearson, Patricia H. Parkerton, Melissa Parkerton, Joelle Wolstein

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Research Question

  1. Do electronic medical records and computerized nursing notes increase the amount of time that nurses spend documenting patient care?

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.

Key Findings

The use of electronic charting does not appear to increase the time nurses spend documenting.

  • With or without electronic charting options, nurses spend about 19 percent of their time completing documentation.

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