Table A3.
Time Spent on 12 Order-Related Activities Before and After CPOE Implementation
| Activity | Pre-CPOE (T-1) |
Post-CPOE (T+3) |
Post-CPOE (T+8) |
||||||
|---|---|---|---|---|---|---|---|---|---|
| Time (minutes) | TT (%)* | CT (%)† | Time (minutes) | TT (%)* | CT (%)† | Time (minutes) | TT (%)* | CT (%)† | |
| Computer—read | |||||||||
| Medical reference | 20.8 | 0.4 | 0.6 | 19.7 | 0.4 | 0.6 | 3.1 | 0.1 | 0.1 |
| Order clarification | 0.0 | 0.0 | 0.0 | 10.6 | 0.2 | 0.3 | 10.8 | 0.3 | 0.4 |
| Computer—writing | |||||||||
| Orders | 3.3 | 0.1 | < 0.1 | 319.2 | 7.1 | 9.1 | 304.1 | 7.2 | 10.2 |
| Forms | 0.5 | < 0.1 | < 0.1 | 0.2 | < 0.1 | < 0.1 | 0.0 | 0.0 | 0.0 |
| Paper—read | |||||||||
| Medical reference | 1.5 | < 0.1 | < 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Forms | 3.1 | 0.1 | < 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Order clarification | 1.3 | < 0.1 | < 0.1 | 2.3 | < 0.1 | < 0.1 | 1.4 | < 0.1 | < 0.1 |
| Paper—looking for | |||||||||
| Forms | 34.4 | 0.7 | 0.9 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Paper—writing | |||||||||
| Orders | 249.7 | 5.0 | 6.5 | 14.6 | 0.3 | 0.4 | 20.3 | 0.5 | 0.7 |
| Forms | 55.5 | 1.1 | 1.4 | 0.0 | 0.0 | 0.0 | 1.2 | < 0.1 | < 0.1 |
| Talking/rounding | |||||||||
| Order clarification | 15.7 | 0.3 | 0.4 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Telephone | |||||||||
| Order clarification | 9.1 | 0.2 | 0.2 | 4.0 | 0.1 | 0.1 | 0.0 | 0.0 | 0.0 |
| Total | 394.9 | 8.0 | 10.2 | 370.6 | 8.2 | 10.6 | 340.9 | 8.1 | 11.4 |
Abbreviations: CPOE, computerized provider order entry; CT, clinical time; TT, total time.
*
Includes all analysis themes in denominator.
†
Includes only patient-care analysis themes (excluding administrative and miscellaneous tasks) in denominator to compensate for census differences.