The effect of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction
Currently, there are few evidence-based guidelines to inform optimal clinical data-entry template design that maximizes usability while reducing unintended consequences. This study explored the impact of data-entry template design and anesthesia provider workload on documentation accuracy, documenta...
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| Veröffentlicht in: | International journal of medical informatics (Shannon, Ireland) Ireland), 2018-10, Vol.118, p.29-35 |
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| container_title | International journal of medical informatics (Shannon, Ireland) |
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| creator | Wilbanks, Bryan A. Berner, Eta S. Alexander, Gregory L. Azuero, Andres Patrician, Patricia A. Moss, Jacqueline A. |
| description | Currently, there are few evidence-based guidelines to inform optimal clinical data-entry template design that maximizes usability while reducing unintended consequences. This study explored the impact of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction to identify the most beneficial data-entry methods for use in future documentation interface design.
A study using observational data collection and psychometric instruments (for perceived workload and user-satisfaction) was conducted at three hospitals using different methods of data-entry for perioperative documentation (auto-filling with unstructured data, computer-assisted data selection with semi-structured documentation, and paper-based documentation). Nurse anesthetists at each hospital (N = 30) were observed completing documentation on routine abdominal surgical cases.
Auto-filling (61.2%) had the lowest documentation accuracy scores compared to computer-assisted (81.3%) and paper-based documentation (76.2%). Computer-assisted data-entry had the best documentation efficiency scores and required the least percentage of the nurse anesthetists’ time (9.65%) compared to auto-filling (11.43%) and paper-based documentation (15.23%). Paper-based documentation had the highest perceived workload scores (M = 288, SD = 88) compared to auto-filling (M = 160, SD = 93, U = 16.5, p |
| doi_str_mv | 10.1016/j.ijmedinf.2018.07.006 |
| format | Article |
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A study using observational data collection and psychometric instruments (for perceived workload and user-satisfaction) was conducted at three hospitals using different methods of data-entry for perioperative documentation (auto-filling with unstructured data, computer-assisted data selection with semi-structured documentation, and paper-based documentation). Nurse anesthetists at each hospital (N = 30) were observed completing documentation on routine abdominal surgical cases.
Auto-filling (61.2%) had the lowest documentation accuracy scores compared to computer-assisted (81.3%) and paper-based documentation (76.2%). Computer-assisted data-entry had the best documentation efficiency scores and required the least percentage of the nurse anesthetists’ time (9.65%) compared to auto-filling (11.43%) and paper-based documentation (15.23%). Paper-based documentation had the highest perceived workload scores (M = 288, SD = 88) compared to auto-filling (M = 160, SD = 93, U = 16.5, p < 0.01) and computer assisted data-entry (M = 93, SD = 50, U = 4.0, P < 0.001).
Auto-filling with unstructured data needs to be used sparingly because of its low documentation accuracy. Computer-assisted data entry with semi-structured data needs to be further study because of its better documentation accuracy, documentation efficiency, and perceived workload.</description><identifier>ISSN: 1386-5056</identifier><identifier>EISSN: 1872-8243</identifier><identifier>DOI: 10.1016/j.ijmedinf.2018.07.006</identifier><identifier>PMID: 30153918</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Anesthesia ; Anesthesia information management system ; Data Interpretation, Statistical ; Documentation - standards ; Documentation quality ; Humans ; Information Management - methods ; Information Management - standards ; Nursing informatics ; Personal Satisfaction ; Template design ; User-Computer Interface ; Workload</subject><ispartof>International journal of medical informatics (Shannon, Ireland), 2018-10, Vol.118, p.29-35</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-f49a4ed0c8f96197abb5d3e2063a2b7c5ddf256049d59b06bac4f6d6146cb1223</citedby><cites>FETCH-LOGICAL-c368t-f49a4ed0c8f96197abb5d3e2063a2b7c5ddf256049d59b06bac4f6d6146cb1223</cites><orcidid>0000-0003-4319-2949 ; 0000-0003-4500-8797 ; 0000-0001-9883-1424</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijmedinf.2018.07.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30153918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilbanks, Bryan A.</creatorcontrib><creatorcontrib>Berner, Eta S.</creatorcontrib><creatorcontrib>Alexander, Gregory L.</creatorcontrib><creatorcontrib>Azuero, Andres</creatorcontrib><creatorcontrib>Patrician, Patricia A.</creatorcontrib><creatorcontrib>Moss, Jacqueline A.</creatorcontrib><title>The effect of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction</title><title>International journal of medical informatics (Shannon, Ireland)</title><addtitle>Int J Med Inform</addtitle><description>Currently, there are few evidence-based guidelines to inform optimal clinical data-entry template design that maximizes usability while reducing unintended consequences. This study explored the impact of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction to identify the most beneficial data-entry methods for use in future documentation interface design.
A study using observational data collection and psychometric instruments (for perceived workload and user-satisfaction) was conducted at three hospitals using different methods of data-entry for perioperative documentation (auto-filling with unstructured data, computer-assisted data selection with semi-structured documentation, and paper-based documentation). Nurse anesthetists at each hospital (N = 30) were observed completing documentation on routine abdominal surgical cases.
Auto-filling (61.2%) had the lowest documentation accuracy scores compared to computer-assisted (81.3%) and paper-based documentation (76.2%). Computer-assisted data-entry had the best documentation efficiency scores and required the least percentage of the nurse anesthetists’ time (9.65%) compared to auto-filling (11.43%) and paper-based documentation (15.23%). Paper-based documentation had the highest perceived workload scores (M = 288, SD = 88) compared to auto-filling (M = 160, SD = 93, U = 16.5, p < 0.01) and computer assisted data-entry (M = 93, SD = 50, U = 4.0, P < 0.001).
Auto-filling with unstructured data needs to be used sparingly because of its low documentation accuracy. Computer-assisted data entry with semi-structured data needs to be further study because of its better documentation accuracy, documentation efficiency, and perceived workload.</description><subject>Anesthesia</subject><subject>Anesthesia information management system</subject><subject>Data Interpretation, Statistical</subject><subject>Documentation - standards</subject><subject>Documentation quality</subject><subject>Humans</subject><subject>Information Management - methods</subject><subject>Information Management - standards</subject><subject>Nursing informatics</subject><subject>Personal Satisfaction</subject><subject>Template design</subject><subject>User-Computer Interface</subject><subject>Workload</subject><issn>1386-5056</issn><issn>1872-8243</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUcFu1TAQtBCIlge_UPnIgYS1kzjJDVQBRarEpZwtx15TP5L4YSet3n_wwWz6Wg5cOFj2emZ3NDuMXQgoBQj1fl-G_YQuzL6UILoS2hJAPWPnomtl0cm6ek7vqlNFA406Y69y3gOIFpr6JTurQDRVL7pz9vvmFjl6j3bh0XNnFlPgvKQjX3A6jGZB7jCHHzM3s6ODebml2vBDinfBYeL3Mf0co3E8ztxFu07UbpZAlbF2TcYe3_3zT3LBBpw3ZJu6ZkxFJix7YzfGa_bCmzHjm8d7x75__nRzeVVcf_vy9fLjdWEr1S2Fr3tTowPb-V6JvjXD0LgKJajKyKG1jXNeNgrq3jX9AGowtvbKKVErOwgpqx17e5pLZn6tZE1PIVscR_IZ16wl9KpphaBl7Zg6UW2KOSf0-pDCZNJRC9BbInqvnxLRWyIaWk2JUOPFo8Y6EPy37SkCInw4EZCc3gVMOj8sh0YlSkW7GP6n8QdnTaRC</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Wilbanks, Bryan A.</creator><creator>Berner, Eta S.</creator><creator>Alexander, Gregory L.</creator><creator>Azuero, Andres</creator><creator>Patrician, Patricia A.</creator><creator>Moss, Jacqueline A.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4319-2949</orcidid><orcidid>https://orcid.org/0000-0003-4500-8797</orcidid><orcidid>https://orcid.org/0000-0001-9883-1424</orcidid></search><sort><creationdate>201810</creationdate><title>The effect of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction</title><author>Wilbanks, Bryan A. ; Berner, Eta S. ; Alexander, Gregory L. ; Azuero, Andres ; Patrician, Patricia A. ; Moss, Jacqueline A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-f49a4ed0c8f96197abb5d3e2063a2b7c5ddf256049d59b06bac4f6d6146cb1223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia</topic><topic>Anesthesia information management system</topic><topic>Data Interpretation, Statistical</topic><topic>Documentation - standards</topic><topic>Documentation quality</topic><topic>Humans</topic><topic>Information Management - methods</topic><topic>Information Management - standards</topic><topic>Nursing informatics</topic><topic>Personal Satisfaction</topic><topic>Template design</topic><topic>User-Computer Interface</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilbanks, Bryan A.</creatorcontrib><creatorcontrib>Berner, Eta S.</creatorcontrib><creatorcontrib>Alexander, Gregory L.</creatorcontrib><creatorcontrib>Azuero, Andres</creatorcontrib><creatorcontrib>Patrician, Patricia A.</creatorcontrib><creatorcontrib>Moss, Jacqueline A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of medical informatics (Shannon, Ireland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilbanks, Bryan A.</au><au>Berner, Eta S.</au><au>Alexander, Gregory L.</au><au>Azuero, Andres</au><au>Patrician, Patricia A.</au><au>Moss, Jacqueline A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction</atitle><jtitle>International journal of medical informatics (Shannon, Ireland)</jtitle><addtitle>Int J Med Inform</addtitle><date>2018-10</date><risdate>2018</risdate><volume>118</volume><spage>29</spage><epage>35</epage><pages>29-35</pages><issn>1386-5056</issn><eissn>1872-8243</eissn><abstract>Currently, there are few evidence-based guidelines to inform optimal clinical data-entry template design that maximizes usability while reducing unintended consequences. This study explored the impact of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction to identify the most beneficial data-entry methods for use in future documentation interface design.
A study using observational data collection and psychometric instruments (for perceived workload and user-satisfaction) was conducted at three hospitals using different methods of data-entry for perioperative documentation (auto-filling with unstructured data, computer-assisted data selection with semi-structured documentation, and paper-based documentation). Nurse anesthetists at each hospital (N = 30) were observed completing documentation on routine abdominal surgical cases.
Auto-filling (61.2%) had the lowest documentation accuracy scores compared to computer-assisted (81.3%) and paper-based documentation (76.2%). Computer-assisted data-entry had the best documentation efficiency scores and required the least percentage of the nurse anesthetists’ time (9.65%) compared to auto-filling (11.43%) and paper-based documentation (15.23%). Paper-based documentation had the highest perceived workload scores (M = 288, SD = 88) compared to auto-filling (M = 160, SD = 93, U = 16.5, p < 0.01) and computer assisted data-entry (M = 93, SD = 50, U = 4.0, P < 0.001).
Auto-filling with unstructured data needs to be used sparingly because of its low documentation accuracy. Computer-assisted data entry with semi-structured data needs to be further study because of its better documentation accuracy, documentation efficiency, and perceived workload.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>30153918</pmid><doi>10.1016/j.ijmedinf.2018.07.006</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4319-2949</orcidid><orcidid>https://orcid.org/0000-0003-4500-8797</orcidid><orcidid>https://orcid.org/0000-0001-9883-1424</orcidid></addata></record> |
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| ispartof | International journal of medical informatics (Shannon, Ireland), 2018-10, Vol.118, p.29-35 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Anesthesia Anesthesia information management system Data Interpretation, Statistical Documentation - standards Documentation quality Humans Information Management - methods Information Management - standards Nursing informatics Personal Satisfaction Template design User-Computer Interface Workload |
| title | The effect of data-entry template design and anesthesia provider workload on documentation accuracy, documentation efficiency, and user-satisfaction |
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