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Impact of Laboratory Value Flowsheet in Electronic Health Record (EHR) Documentation Time

DOI: 10.4236/ojn.2024.141004, PP. 40-50

Keywords: Electronic Health Record, EHR, Laboratory Results Template, Documentation Time

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Abstract:

Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation; and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day.

References

[1]  Evans, R.S. (2016) Electronic Health Records: Then, Now, and in the Future. IMIA Yearbook of Medical Informatics, 25, S48-S61.
https://doi.org/10.15265/IYS-2016-s006
[2]  Lowes, R. (2014) EHR Rankings Hint at Physician Revolt.
https://www.Medscape.com/viewarticle/820101_print
[3]  Perry, J.J., Sutherland, J., Symington, C., Dorland, K., Mansour, M. and Stiell, I.G. (2014) Assessment of the Impact on Time to Complete Medical Record Using an Electronic Medical Record versus a Paper Record on Emergency Department Patients: A Study. Emergency Medicine Journal, 31, 980-985.
https://doi.org/10.1136/emermed-2013-202479
[4]  U.S. Department of Health and Human Services (2017) HITECH Act Enforcement Interim Final Rule.
https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html
[5]  Rodriguez-Torres, Y., Huang, J., Mihlstin, M., Juzych, M.S., Kromrei, H. and Hwang, F.S. (2017) The Effect of Electronic Health Record Software Design on Resident Documentation and Compliance with Evidence-Based Medicine. PLOS ONE, 12, e0185052. https://doi.org/10.1371/journal.pone.0185052
[6]  Pallant, J. (2020) SPSS Survival Manual: A Step by Step Guide to Data Analysis Using IBM SPSS. 7th Edition, McGraw Hill Open University Press, London.
https://doi.org/10.4324/9781003117452
[7]  Statistical Solutions: Advancement through Clarity (2021) Sample Size Calculation and Sample Size Justification.
https://www.statisticssolutions.com/sample-size-calculation-and-sample-size-justification
[8]  Rachmawaty, R. (2015) The Development of the Electronic Nursing Record System (ENRS) in the Hospital Setting: An Integrative Literature Review. American Journal of Health Sciences, 6, 1-6. https://doi.org/10.19030/ajhs.v6i1.9263
[9]  Roman-Belmonte, J.M., De la Corte-Rodriguez, H. and Rodriguez-Merchan, E.C. (2017) Comparative Analysis of Two Methods of Data Entry into Electronic Medical Records: A Randomized Clinical Trial (Research Letter) [Letter to the Editor]. Journal of Evaluation in Clinical Practice, 23, 1478-1481.
https://doi.org/10.1111/jep.12835
[10]  O’Mahony, D., Wright, G., Yogeswaran, P. and Govere, F. (2014) Knowledge and Attitudes of Nurses in Community Health Centres about Electronic Medical Records. Curationis, 37, 1-6. https://doi.org/10.4102/curationis.v37i1.1150
http://americansentinel.idm.oclc.org/login?url=https://search-proquest-com.americansentinel.idm.oclc.org/docview/1534303442?accountid=169658
[11]  The Office of the National Coordinator for Health Information Technology (2020) Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
https://www.healthit.gov/sites/default/files/page/2020-02/BurdenReport_0.pdf
[12]  Verma, G., Ivanov, A., Benn, F., Rathi, A., Tran, N., Afzal, A., Mehta, P. and Heitner, J.F. (2020) Analyses of Electronic Health Records Utilization in a Large Community Hospital. PLOS ONE, 15, e0233004.
https://doi.org/10.1371/journal.pone.0233004
[13]  Haas, D.A., Halamka, J.D. and Suk, M. (2019) 3 Ways to Make Electronic Health Records Less Time-Consuming for Physicians.
https://hbr.org/2019/01/3-ways-to-make-electronic-health-records-less-time-consuming-for-physicians
[14]  Gettinger, A. and Mason, T.A. (2020) Final Report Delivers a Strategy to Reduce EHR Burden.
https://www.healthit.gov/buzz-blog/health-it/final-report-delivers-a-strategy-to-reduce-ehr-burden

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