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At least 307 records · Page 17Linked to original sources
PubMed2006

Effects of implementing computerized practitioner order entry and nursing documentation on nursing workflow in an emergency department.

Nurses'perceptions of effective use of their time are critical to the successful implementation of information system changes. We examined the effects of implementing computerized practitioner order entry and nursing documentation in our emergency department with an anonymous survey of nurses and repeated time-motion studies. Emergency care nurses were positive about effects of CPOE, reporting needing less time to complete medication, laboratory, and radiology orders and less time spent clarifying orders. Their perceptions of time spent were congruent with observations from time-motion studies where combined computer-and-paper time and direct-patient-care time did not change significantly. Nurses also reported supplementing template options with free text, and those who were more comfortable using computers reported supplementing template options more often than their counterparts, suggesting that assessments of users' expertise in computer use may influence their ability to maximize their use of the functionality of emergency department information systems.

Diffusion of Innovation↗
PubMed2006

Static workflow.

Explore the source record for details and available documents.

Clinical Competence↗
PubMed2005

Harriet Lane online culture book: matching residents' workflow.

Managing cultures taken from patients in a teaching outpatient setting, such as Johns Hopkins Harriet Lane Clinic (HLC) in Baltimore, is a complicated task to model,because it must support a task that lasts several days. There are many considerations in replacing the paper based system currently in place. We needed to balance the need for speed with the recognizability of familiar forms; the need for quality care with the need for teaching;and the need for documentation with the need for compact representation of clinical need.

Ambulatory Care Information Systems↗
PubMed2006

Integrating device monitoring into the infrastructure and workflow of routine practice.

Monitoring strategies for patients with heart failure vary. Physical assessment and patient reporting are often unreliable and inconsistent. Continuous physiologic information from implanted devices identifies the progression to congestion in patients with chronic heart failure earlier in the process than traditional methods. Common themes of a successful system will require a means to provide device-based data to interested providers who then can interpret the information in the context of either remote or face-to-face clinical assessment.

Decision Support Systems, Clinical↗
PubMed2006

Integrating monitoring into the infrastructure and workflow of routine practice: OptiVol.

New cardiac resynchronization devices that monitor intrathoracic impedance may be utilized to monitor intravascular fluid status in chronic heart failure patients. Incorporating these devices into a heart failure medical practice requires the integration of heart failure medical services and electrophysiology. These devices must be interrogated and the data analyzed if the diagnostic information is to be useful in the care of heart failure patients. Device generated time aligned trends should be interpreted in the context of clinical findings. Systems must be well designed to deal with the results of solicited and unsolicited data.

Cardiography, Impedance↗