Dataset Information

Impact of IPMOE on nursing tasks in the medical ward: A time-motion study.

ABSTRACT:

Introduction

The In-patient Medication Order Entry System (IPMOE) was first implemented in the medical ward of Princess Margaret Hospital, Hong Kong. It was a local developed close-loop system including prescription, dispensing and administration modules. Evaluation on its impact on nursing tasks would be important for practice improvement and subsequent system enhancement.

Objective

The study was conducted to quantify the nursing times across medication-associated tasks for paper-based MAR and computer-based IPMOE, including change in the tasks and time patterns before and after IPMOE implementation.

Methods

This was a prospective observation study in medical wards before (Jan 2014-Jun 2014) and after (Mar 2015-Jun 2015) the implementation of IPMOE. We conducted 8-hr observation studies of individual nurses with a customized application to time various pre-categorized nursing tasks. Statistical inferences and interrupted time series analysis was performed to identify the change in the intercept and trends over time after implementation.

Result

The average number of medication-related tasks was significantly reduced from 61.07 to 29.81, a reduction of 31.26 episodes per duty (P?P?=?0.315) between the two groups. An improving trend in the delayed effect was observed (P?=?0.03), which indicated a run-in period for new application was needed in clinical setting.

Conclusion

Our study had shown the time motion observation could be applied to measure the impact of the IPMOE in a busy clinical setting. Through classification of activities, validation, objective measurement and longitudinal evaluation, the method could be applied in various systems as well as different clinical settings in measure efficiency.

SUBMITTER: Leung M

PROVIDER: S-EPMC6626216 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Publications

Impact of IPMOE on nursing tasks in the medical ward: A time-motion study.

Leung Ming M Chan Kenny Kin Chung KKC Wong Wing Leung WL Law Alexander Chun Bon ACB

International journal of nursing sciences 20180112 1

<h4>Introduction</h4>The In-patient Medication Order Entry System (IPMOE) was first implemented in the medical ward of Princess Margaret Hospital, Hong Kong. It was a local developed close-loop system including prescription, dispensing and administration modules. Evaluation on its impact on nursing tasks would be important for practice improvement and subsequent system enhancement.<h4>Objective</h4>The study was conducted to quantify the nursing times across medication-associated tasks for paper ...[more]

PMID: 31406801

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Dataset Information

Impact of IPMOE on nursing tasks in the medical ward: A time-motion study.

Introduction

Objective

Methods

Result

Conclusion

Publications

Impact of IPMOE on nursing tasks in the medical ward: A time-motion study.

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