Chaudary Muhammad I, Zeb Junaid, Arshad Faizan, Sadiq Salman, Hanif Umar-Khetaab, Saleem Usman, Chaudhry Fouad
Trauma and Orthopaedics, Russells Hall Hospital, Dudley, GBR.
Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Coventry, GBR.
Cureus. 2022 Aug 2;14(8):e27598. doi: 10.7759/cureus.27598. eCollection 2022 Aug.
Objective To compare the role of paper-based versus digital record keeping in the orthopaedic ward in terms of staff satisfaction, education of staff, and adherence to British Orthopaedic Association (BOA) guidelines. Materials and methods Forty-four participants including nurses, senior house officers, foundation year trainees, and consultants completed a questionnaire. The first survey was done to introduce electronic records keeping to the participants and the second survey was conducted to review the collected record. Three parameters were assessed, which were adherence to BOA guidelines, staff satisfaction, and effect of education for both paper-based and electronic records. Comparison between two methods of record keeping was done by independent t-test for continuous data and chi-square test for categorical. Results For all four questions about staff satisfaction, the score of the electronic method was higher than paperwork statistically. The score for 'opportunity to learn images in ward round' was higher in electronic (3.9±0.8) than paperwork (2.6±1.3) statistically (p<0.001). Comparable results were found for 'educational usefulness of ward round' and 'typing time affecting learning time'. For adherence to guidelines, the electronic record keeping was more effective in storing the patient's ID and name (p=0.05), details of documenting clinician (p<0.001), time of ward round ((p=0.005), whom to contact in case of concern (p=0.050), and grade of ward round clinician (<0.001). Conclusion Electronic records in the orthopaedic ward were deemed better than paperwork in terms of staff satisfaction, positive effect on the education of doctors, and adherence to BOA guidelines.
目的 比较纸质记录与数字记录在骨科病房中对员工满意度、员工教育以及遵循英国骨科协会（BOA）指南方面的作用。材料与方法 44名参与者，包括护士、高级住院医师、基础培训学员和顾问，完成了一份问卷调查。第一次调查是向参与者介绍电子记录保存，第二次调查是对收集到的记录进行回顾。评估了三个参数，即遵循BOA指南情况、员工满意度以及纸质记录和电子记录的教育效果。两种记录保存方法之间的比较，对于连续数据采用独立t检验，对于分类数据采用卡方检验。结果 对于所有四个关于员工满意度的问题，电子方法的得分在统计学上高于纸质记录。在统计学上，电子记录在“查房时学习影像的机会”方面的得分（3.9±0.8）高于纸质记录（2.6±1.3）（p<0.001）。在“查房的教育实用性”和“打字时间影响学习时间”方面也发现了类似结果。对于遵循指南情况，电子记录在存储患者身份证号码和姓名（p=0.05）、记录临床医生详细信息（p<0.001）、查房时间（p=0.005）、有问题时联系对象（p=0.050）以及查房临床医生级别（p<0.001）方面更有效。结论 在员工满意度、对医生教育的积极影响以及遵循BOA指南方面，骨科病房的电子记录被认为优于纸质记录。
