Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery

Nowadays, registration of patient data on paper is gradually being replaced by registration using an intensive care information system (ICIS). The aim of this study was to evaluate the effect of the use of an ICIS on nursing activity. Randomized controlled trial with a crossover design. An 18-bed me...

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Bibliographic Details
Published in:Intensive care medicine 2003-01, Vol.29 (1), p.83-90
Main Authors: Bosman, Robert Jan, Rood, Emmy, Oudemans-van Straaten, Heleen Maria, Van der Spoel, Johan Ids, Wester, Johannus Petrus Jacobus, Zandstra, Durk Freark
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiac Surgical Procedures - nursing
Efficiency, Organizational
Female
Hospital Information Systems
Humans
Intensive Care Units
Male
Middle Aged
Netherlands
Nursing Staff, Hospital - organization & administration
Thoracic Surgical Procedures - nursing
Time and Motion Studies
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Summary:Nowadays, registration of patient data on paper is gradually being replaced by registration using an intensive care information system (ICIS). The aim of this study was to evaluate the effect of the use of an ICIS on nursing activity. Randomized controlled trial with a crossover design. An 18-bed medical-surgical ICU in a teaching hospital. PATIENTS, NURSES AND INTERVENTIONS: During a 6week period 145 consecutive adult patients admitted to the ICU after uncomplicated cardiothoracic surgery were randomized into two groups: for one group the documentation was carried out using a paper-based registration (Paper), in the second group an ICIS was used for documentation. The nursing activities for these patients were studied during two separate periods: the admission period and the registration phase (the period directly following the admission procedure). The duration of the admission procedure was measured by time-motion analysis and the nursing activities in the registration phase were studied by work sampling methodology. All nursing activities during the registration phase were grouped in four main categories: patient care, documentation, unit-related and personal time. The duration of the admission procedure was longer in the ICIS group (18.1+/-4.1 versus 16.8+/-3.1 min, p
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-002-1542-9