Sounds to me like a job for Tablet Computers! Don Grodecki openhre.org
----- Original Message ----- From: "Wayne Wilson" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, October 04, 2004 1:50 PM Subject: CPOE time studies. -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 I have two references, thanks to Tim's Flewelling research. Both of these indicate far more than a 20-30% decrease in efficiency, more like a doubling of time spent by physicians. This time can partially be recovered elsewhere in the system, but not completly by the physicians directly. I don't have full text access to either article, so I cannot pursue other references. It is really these studies that validate and personal experience that lead Dr. Wenner to apply computer power elsewhere in the patient visit chain to the physician. Title: Impact of computerized physician order entry on physician time. Source: Proceedings - the Annual Symposium on Computer Applications in Medical Care. :996, 1994. "For both medical and surgical house officers, writing orders on the computer took about twice as long (p < 0.001), or 44 minutes for medical and 73 minutes for surgical house officers. Medical house officers recovered about half this time because some administrative tasks--e.g. looking for charts--were made easier." Authors: Shu K. Boyle D. Spurr C. Horsky J. Heiman H. O'Connor P. Lepore J. Bates DW. Institution: Information Systems, Partners HealthCare System, Boston, MA, USA. Title: Comparison of time spent writing orders on paper with computerized physician order entry. Source: Medinfo. 10(Pt 2):1207-11, 2001. "Key findings were that interns spent 9.0% of their time ordering with CPOE, compared to 2.1% before, although CPOE saved them an additional 2% of time, so that the net difference was 5% of their total time. However, this is counterbalanced by decreased time for other personnel such as nursing and pharmacy, and by the quality and efficiency changes." -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.2.4 (GNU/Linux) Comment: Using GnuPG with Thunderbird - http://enigmail.mozdev.org iD8DBQFBYZtzY+HG7UEwVGERAn2CAJwNuo8hHoBIzkWULdMCKJdgRE8GqACgvA9v esrR7mzazDpIM5rmw4UEkSA= =MrvA -----END PGP SIGNATURE----- ---------------------------------------- My Inbox is protected by SPAMfighter 16205 spam mails have been blocked so far. Download free www.spamfighter.com today!
