A mobile application to support bedside nurse documentation and care: A time and motion study

Abstract

Documentation at the bedside is still often initiated on paper before being entered in electronic charts, even after implementing electronic health records (EHRs). This 2-step process is time-consuming, a potential source of error, and hinders the use of real-Time information. We developed the "Bedside mobility"smartphone application to facilitate bedside documentation in the EHR. Objective: This study aims to evaluate the impact of our app in 2 wards of a teaching hospital with a pre-post design. Materials and methods: The duration and location of all documentation activities were recorded using a time motion study. Results: Using the app significantly decreased the duration of EHR documentation per hour of observation by 4.10 min (P = 0.003), while the time spent interacting with patient increased by 1.45 min although not significantly. Also, in the intervention period, the average duration of uninterrupted documentation episodes increased by 0.27 min (P = 0.16) and the uninterrupted interaction with patient increased by 8.50 min (P = 0.027). Discussion: By reducing the fragmentation of documentation workflow, decreasing the overall EHR documentation time and allowing nurses to spend more time with their patients, app use led to potential higher quality of care and higher patient satisfaction and may help maintain a smoother workflow. Conclusion: Our mobile app has the potential to positively impact bedside nurses' clinical workflow and documentation, as well as patient-provider communication and relationship.