Difference in efficiency between computer-based and handwritten hospital admissions records
- VernacularTitle:电子病历系统与手工书写入院记录的效率对比研究
- Author:
Weibin WU
;
Hui DAI
;
Chuanwei PENG
- Publication Type:Journal Article
- Keywords:
Medical record;
Computer-based;
Electronic medical record
- From:
Chinese Journal of Hospital Administration
1996;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficiency of writing admissions records with the electronic medical record system. Methods 16 interns with the same educational backgrounds and residency periods were randomized into 2 groups and wrote admissions records respectively with the electronic system and by hand, the traditional method. 1 week later, the same records were again written by the two groups, now each using the other's method. The time for completing each part of the records was noted down in real time across the entire process. The time taken by the interns to complete the records was changed into marks of speed, the assessments of the records by experts were changed into marks of quality, and composite marks resulted from the two after weighting. Statistical testing was done with the two methods. Results In terms of time, the average total time taken by the electronic and traditional groups was respectively 19. 85 m and 39. 49 m; in terms of quality, the electronic group got higher marks in scores for present, past, personal, and family histories and physical examination and in the overall score; in terms of general efficiency, the electronic group got average marks of 91. 13 while the traditional group got average marks of 65. 72, the difference being statistically significant (P
