Use of an electronic Drug Monitoring System for ambulatory patients with chronic disease

How does it impact on nurses' time spent documenting clinical care?

Antonia Hordern*, Joanne Callen, Kathryn Gibson, Louise Robertson, Ling Li, Isla M. Hains, Johanna I. Westbrook

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

Medication monitoring of ambulatory rheumatology patients on Disease Modifying Anti-Rheumatic Drugs (DMARDS) is time consuming and complex, with possibilities for error. Electronic systems have the potential to improve the process. The aim of this study was to evaluate the impact of an electronic Drug Monitoring System (eDMS) on the time nurses' spent on clinical documentation associated with monitoring. The study was conducted with all nurses (n=4) in the Rheumatology Department of a large metropolitan Australian teaching hospital. The eDMS was designed as a module of the Hospital Clinical Information System (HCIS) to assist clinicians in monitoring rheumatology patients on DMARDS. Timing data were collected using a modified time and motion work measurement technique using software on a handheld computer. Data included the time nurses spent on documentation regarding medication monitoring before and after the implementation of the eDMS. Results showed that following implementation of the eDMS nurses spent significantly less time documenting medication monitoring information (13.6% to 7.2%, P<.0001). The cumbersome paper-based Drug Monitoring Patient List was replaced entirely by the eDMS. Consequently, there was a significant decrease in the time nurses spent using the HCIS (13.01% to 2.8%, p < .0001) for monitoring and the use of loose-leaf paper also decreased (7.6% to 5.0%, p = 0.002). The eDMS made the process of drug monitoring quicker and simpler for nurses and thus permitted them to increase their time spent in direct patient care.

Original languageEnglish
Title of host publicationHealth Informatics
EditorsAnthony J. Maeder, Fernando J. Martin-Sanchez
Place of PublicationAmsterdam
PublisherIOS Press
Pages71-76
Number of pages6
Volume178
ISBN (Electronic)9781614990789
ISBN (Print)9781614990772
DOIs
Publication statusPublished - 2012
Externally publishedYes
Event20th Australian National Health Informatics Conference, HIC 2012 - Sydney, NSW, Australia
Duration: 30 Jul 20122 Aug 2012

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other20th Australian National Health Informatics Conference, HIC 2012
CountryAustralia
CitySydney, NSW
Period30/07/122/08/12

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    Hordern, A., Callen, J., Gibson, K., Robertson, L., Li, L., Hains, I. M., & Westbrook, J. I. (2012). Use of an electronic Drug Monitoring System for ambulatory patients with chronic disease: How does it impact on nurses' time spent documenting clinical care? In A. J. Maeder, & F. J. Martin-Sanchez (Eds.), Health Informatics (Vol. 178, pp. 71-76). (Studies in Health Technology and Informatics). Amsterdam: IOS Press. https://doi.org/10.3233/978-1-61499-078-9-71