Annals of Emergency Medicine
Volume 53, Issue 4 , Pages 462-468.e1 , April 2009

Time Motion Study in a Pediatric Emergency Department Before and After Computer Physician Order Entry

Presented as a platform presentation at the 2007 Pediatric Academic Societies annual meeting, May 2007, Toronto, Ontario, Canada; and as a poster session at the 2005 PAS annual meeting, May 2005, Washington, DC.

  • Kenneth Yen, MD, MS

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • Children's Research Institute, Children's Hospital and Health System, Milwaukee, WI
    • Corresponding Author InformationAddress for correspondence: Kenneth Yen, MD, MS, Children's Corporate Center, Pediatric Emergency Medicine, 999 N 92nd Street, Suite C550, Milwaukee, WI 53226; 414-266-3190, fax 414-266-2635
    • ,
  • Elizabeth L. Shane, BA

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • ,
  • Sachin S. Pawar, MD

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • ,
  • Nicole D. Schwendel, BS

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • ,
  • Robert J. Zimmanck, BA

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • ,
  • Marc H. Gorelick, MD, MSCE

      Affiliations

    • Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
    • Children's Research Institute, Children's Hospital and Health System, Milwaukee, WI

Received 24 March 2008 ,Revised 24 August 2008 ,Accepted 8 September 2008.

References 

  1. Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999;
  2. Hing E, Burt CW. Office-Based Medical Practices: Methods and Estimates From the National Ambulatory Medical Care Survey Advance Data From Vital and Health Statistics. No. 383. Hyattsville, MD: National Center for Health Statistics; 2007;
  3. Hing E, Burt CW. Features of electronic medical records used in ambulatory care settings in 2005 (National Association of Health Data Organizations 21st annual meeting). Washington, DC: PowerPoint presentation; 2006;Available at: http://nahdo.org/documents/21stmeeting/4A-EstherHing.pdf. Accessed October 30, 2008.
  4. Milstein A, Galvin RS, Delbanco SF, et al. Improving the safety of health care: the leapfrog initiative. [erratum appears in Eff Clin Pract. 2001;4:94] Eff Clin Pract. 2000;3:313–316
  5. Shohania KG, Duncan BW, MacDonald KM, et al. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43 (Prepared by the University of California at San Francisco-Stanford Evidence-based Practice Center under Contract No. 290-97-0013). Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publ. No. 01-E058.7-1-0001;2001.
  6. Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Informat Assoc. 2006;13:547–556
  7. Chamberlain JM, Slonim A, Joseph JG. Reducing errors and promoting safety in pediatric emergency care. Ambul Pediatr. 2004;4:55–63
  8. Ash JS, Sittig DF, Campbell E, et al. An unintended consequence of CPOE implementation: shifts in power, control, and autonomy. AMIA annual symposium proceedings/AMIA symposium; Washington, DC; November 5, 2006.
  9. Viccellio P. Turnaround time and transaction costs. Ann Emerg Med. 2008;51:186–187
  10. Hollingsworth JC, Chisholm CD, Giles BK, et al. How do physicians and nurses spend their time in the emergency department?. Ann Emerg Med. 1998;31:87–91
  11. Chisholm CD, Collison EK, Nelson DR, et al. Emergency department workplace interruptions: are emergency physicians “interrupt-driven” and “multitasking”?. Acad Emerg Med. 2000;7:1239–1243
  12. Magnusson AR, Hedges JR, Ashley P, et al. Resident educational time study: a tale of three specialties. Acad Emerg Med. 1998;5:718–725

 Supervising editor: Donald M. Yealy, MD

 Author contributions: KY and MHG conceived and designed the study and performed the statistical analysis. KY trained the observers, supervised the conduct of the study (including quality control), and performed the data entry. ELS, SSP, NDS, and RJZ recruited participants and recorded the data. KY, ELS, and MHG performed substantial revisions of the article. All authors take responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication dates: Available online November 20, 2008.

 Reprints not available from the authors.

PII: S0196-0644(08)01782-4

doi: 10.1016/j.annemergmed.2008.09.018

Annals of Emergency Medicine
Volume 53, Issue 4 , Pages 462-468.e1 , April 2009

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