Abstract
The primary object of this study is to analyze the different patterns of medication administration in a medical intensive care unit (MICU) using an electronic medical record (EMR) log data and how these patterns can be different inside and outside the patient room in terms of average process time. To analyze ICU nurses’ workflow related to the EMR documentation, the real-time measurement system (RTMS) data was used, and multiple hierarchical task analysis (HTA) charts were developed. The results revealed that there was no significant different pattern between the medication administration inside and outside the patient room. However, we found a significant difference in medication administration’s average process time between inside and outside the patient room. The findings of this study highlight the behavioral differences in performing medication administration in an ICU.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Beckmann, U., Baldwin, I., Hart, G., Runciman, W., Intensive Care Units Participating in the AIMS-ICU Project: The Australian incident monitoring study in intensive care: AIMS-ICU. An analysis of the first year of reporting. Anaesth. Intensive Care 24(3), 320–329 (1996)
Ross, L., Wallace, J., Paton, J.: Medication errors in a paediatric teaching hospital in the UK: five years operational experience. Arch. Dis. Child. 83(6), 492–497 (2000)
Allan, E.A., Barker, K.N.: Fundamentals of medication error research. Am. J. Hosp. Pharm. 47(3), 555–571 (1990)
Koska, M.: Drug errors: dangerous, costly, and avoidable. Hospitals 63(11), 24 (1989)
American Society of Health-System Pharmacists: Best Practices for Hospital and Health System Pharmacy. American Society of Health-System Pharmacists (2007)
Bates, D.W., et al.: Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA 274(1), 29–34 (1995)
Vazin, A., Delfani, S.: Medication errors in an internal intensive care unit of a large teaching hospital: a direct observation study. Acta Medica Iranica 50, 425–432 (2012)
Freedman, J.E., et al.: Medication errors in acute cardiac care: an American heart association scientific statement from the council on clinical cardiology subcommittee on acute cardiac care, council on cardiopulmonary and critical care, council on cardiovascular nursing, and council on stroke. Circulation 106(20), 2623–2629 (2002)
Furukawa, M.F.: Electronic medical records and the efficiency of hospital emergency departments. Med. Care Res. Rev. 68(1), 75–95 (2011)
Sreeramakavacham, S., Kim, J.H., Despins, L., Sommerfeldt, M., Bessette, N.: Effect of patient acuity of illness and nurse experience on EMR works in intensive care unit. In: Duffy, V.G. (ed.) DHM 2018. LNCS, vol. 10917, pp. 547–557. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-91397-1_44
Hefter, Y., Madahar, P., Eisen, L.A., Gong, M.N.: A time-motion study of ICU workflow and the impact of strain. Critical Care Med. 44(8), 1482–1489, (2016). https://doi.org/10.1007/978-3-319-21602-7_8
Hendrich, A., Chow, M.P., Skierczynski, B.A., Lu, Z.: A 36-hospital time and motion study: how do medical-surgical nurses spend their time? Permanente J. 12(3), 25 (2008)
Poissant, L., Pereira, J., Tamblyn, R., Kawasumi, Y.: The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J. Am. Med. Inform. Assoc. 12(5), 505–516 (2005)
Cho, I., Park, H., Choi, Y.J., Hwang, M.H., Bates, D.W.: Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS ONE 9(12), e114243 (2014)
Warrick, C., Naik, H., Avis, S., Fletcher, P., Franklin, B.D., Inwald, D.: A clinical information system reduces medication errors in paediatric intensive care. Intensive Care Med. 37(4), 691–694 (2011)
Parameshwara, N., Kim, J.H., Guo, W., Pasupathy, K.S.: NGOMSL simulation model in an emergency department. In: 2016 Winter Simulation Conference (WSC), pp. 1938–1949. IEEE (2016)
Guo, W., Kim, J.H., Smith, B., Despins, L.: How nurse experience influences the patterns of electronic medical record documentation in an intensive care unit. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 63, no. 1, pp. 708–712. SAGE Publications Sage CA, Los Angeles (2019)
Iyer, P.W., Camp, N.H.: Nursing Documentation: a Nursing Process Approach. Mosby Inc. (1999)
Cheevakasemsook, A., Chapman, Y., Francis, K., Davies, C.: The study of nursing documentation complexities. Int. J. Nurs. Pract. 12(6), 366–374 (2006)
Jefferies, D., Johnson, M., Griffiths, R.: A meta-study of the essentials of quality nursing documentation. Int. J. Nurs. Pract. 16(2), 112–124 (2010)
Harrington, L., Kennerly, D., Johnson, C.: Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. J. Healthc. Manage. 56(1), 31–44 (2011)
Horsky, J., Kuperman, G.J., Patel, V.L.: Comprehensive analysis of a medication dosing error related to CPOE. J. Am. Med. Inform. Assoc. 12(4), 377–382 (2005)
Koppel, R., et al.: Role of computerized physician order entry systems in facilitating medication errors. JAMA 293(10), 1197–1203 (2005)
Bates, D.W., Cohen, M., Leape, L.L., Overhage, J.M., Shabot, M.M., Sheridan, T.: Reducing the frequency of errors in medicine using information technology. J. Am. Med. Inform. Assoc. 8(4), 299–308 (2001)
Vicente, K.J.: Ecological interface design: Progress and challenges. Hum. Factors 44(1), 62–78 (2002)
Saranto, K., Kinnunen, U.M.: Evaluating nursing documentation–research designs and methods: systematic review. J. Adv. Nurs. 65(3), 464–476 (2009)
Song, X., Kim, J.H., Despins, L.: A time-motion study in an intensive care unit using the near field electromagnetic ranging system. In: IIE Annual Conference. Proceedings, 2017: Institute of Industrial and Systems Engineers (IISE), pp. 470–475 (2017)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this paper
Cite this paper
Kasaie, A., Kim, J.H., Guo, W., Nazareth, R., Shotton, T., Despins, L. (2021). Different Patterns of Medication Administration Between Inside and Outside the Patient Room Using Electronic Medical Record Log Data. In: Duffy, V.G. (eds) Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. AI, Product and Service. HCII 2021. Lecture Notes in Computer Science(), vol 12778. Springer, Cham. https://doi.org/10.1007/978-3-030-77820-0_7
Download citation
DOI: https://doi.org/10.1007/978-3-030-77820-0_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-77819-4
Online ISBN: 978-3-030-77820-0
eBook Packages: Computer ScienceComputer Science (R0)