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数据录入自动化可提高医院护理单元的成本、质量、绩效和工作满意度。

Data Entry Automation Improves Cost, Quality, Performance, and Job Satisfaction in a Hospital Nursing Unit.

机构信息

Author Affiliations: Medical Economist (Dr Bauer), Madison, Wisconsin; and Senior Director Telemetry (Ms John), Medical/Surgical Services, Mercy San Juan Medical Center; Carmichael; Vice President (Mr. Wood), Neuroscience and Orthopedics, Dignity Health; Sacramento; and Vice President, Operations (Ms Plass), Sierra Nevada Memorial Hospital; and Vice President (Mr Richardson), Applied Science, Inc, Grass Valley, CA.

出版信息

J Nurs Adm. 2020 Jan;50(1):34-39. doi: 10.1097/NNA.0000000000000836.

Abstract

OBJECTIVE

An Automated Data Entry Process Technology tool was developed to free nurses from data entry tasks, thus creating time for patient care and other activities associated with improvements in performance and job satisfaction.

BACKGROUND

Manually transferring data from patient measurement devices to electronic health records (EHRs) is an intensive, error-prone task that diverts nurses from patient care while adversely affecting job performance and employee satisfaction.

METHODS

Performance improvement analytics were used to compare matched sets of manual and automated EHR data entries for 1933 consecutive vital signs records created by 49 RNs and certified nursing assistants in a 23-bed medical-surgical unit at a large tertiary hospital. Performance and quality effects were evaluated via nurses' responses to a postintervention survey.

RESULTS

Data errors decreased from approximately 20% to 0; data transfer times were reduced by 5 minutes to 2 hours per measurement event; nurses had more time for direct patient care; and job satisfaction improved.

CONCLUSION

Data entry automation eliminates data errors, substantially reduces delays in getting data into EHRs, and improves job satisfaction by giving nurses more time for direct patient care. Findings are associated with improvements in quality, work performance, and job satisfaction, key goals of nursing leaders.

摘要

目的

开发一种自动化数据录入流程技术工具,使护士从数据录入任务中解放出来,从而为患者护理和其他与绩效提升和工作满意度相关的活动创造时间。

背景

将患者测量设备中的数据手动传输到电子健康记录(EHR)是一项密集且容易出错的任务,会分散护士对患者的注意力,同时对绩效和员工满意度产生不利影响。

方法

使用绩效改进分析方法,对 49 名注册护士和认证护理助理在一家大型三级医院的 23 张病床的内科-外科病房中连续创建的 1933 份生命体征记录的手动和自动 EHR 数据录入进行匹配集比较。通过护士对干预后调查的反馈来评估绩效和质量影响。

结果

数据错误率从约 20%降至 0%;数据传输时间从每测量事件减少 5 分钟至 2 小时;护士有更多时间直接护理患者;工作满意度提高。

结论

数据录入自动化消除了数据错误,大大减少了将数据输入 EHR 的延迟,并通过为护士提供更多直接护理患者的时间来提高工作满意度。这些发现与质量、工作绩效和工作满意度的提升相关,这是护理领导者的关键目标。

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