ArticleJournal of the American Medical Informatics Association : JAMIA
Impact of an electronic medication management system on hospital doctors' and nurses' work: a controlled pre-post, time and motion study.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- A Systematic Review of Quantitative Methods for Evaluating Electronic Medication Administration Record and Bar-Coded Medication Administration Usability.Applied clinical informatics · 2023Pooled it
- A systematic review of the impact of health information technology on nurses' time.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- The impact of electronic prescribing systems on healthcare professionals' working practices in the hospital setting: a systematic review and narrative synthesis.BMC health services research · 2019Pooled it
- Trial
- How much time do nurses in Norwegian emergency departments spend on different work tasks with and without a clinical pharmacist present-a time and motion study.BMC emergency medicine · 2025Observational
- Clinical, Operational, and Economic Benefits of a Digitally Enabled Wound Care Program in Home Health: Quasi-Experimental, Pre-Post Comparative Study.JMIR nursing · 2025Article
- Impact of clinical pharmacist involvement on emergency department physicians' work-time distribution: a comparative analysis.Therapeutic advances in drug safety · 2025Article
- How Do Pharmacists Distribute Their Work Time during a Clinical Intervention Trial?-A Time and Motion Study.Pharmacy (Basel, Switzerland) · 2024Article
- Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.BMJ health & care informatics · 2024Article
- How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study.BMC emergency medicine · 2024Observational
- Improving difficult peripheral intravenous access requires thought, training and technology (DARTBMC health services research · 2023Article
- Time Utilization Among Immunization Clinics Using an Electronic Immunization Registry (Part 2): Time and Motion Study of Modified User Workflows.JMIR formative research · 2023Article
- Intensive care nurses' experiences with the new electronic medication administration record.Nursing open · 2022Article
- Pharmacist's time spent: Space for Pharmacy-based Interventions and Consultation TimE (SPICE)-an observational time and motion study.BMJ open · 2022Article
- Article
- The Impact of Information and Communication Technology on Doctors' and Registered Nurses' Working Conditions and Clinical Work - A Cross-Sectional Study in a Norwegian Hospital.Journal of multidisciplinary healthcare · 2021Article
- A Time-and-Motion Study of Clinical Trial Eligibility Screening in a Pediatric Emergency Department.Pediatric emergency care · 2019Observational
- A Real-Time Automated Patient Screening System for Clinical Trials Eligibility in an Emergency Department: Design and Evaluation.JMIR medical informatics · 2019Article
- Observational cohort study investigating cognitive outcomes, social networks and well-being in older adults: a study protocol.BMJ open · 2019Article
- Defining electronic-prescribing and infusion-related medication errors in paediatric intensive care - a Delphi study.BMC medical informatics and decision making · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantify and compare the time doctors and nurses spent on direct patient care, medication-related tasks, and interactions before and after electronic medication management system (eMMS) introduction.
methodsControlled pre-post, time and motion study of 129 doctors and nurses for 633.2 h on four wards in a 400-bed hospital in Sydney, Australia. We measured changes in proportions of time on tasks and interactions by period, intervention/control group, and profession.
resultseMMS was associated with no significant change in proportions of time spent on direct care or medication-related tasks relative to control wards. In the post-period control ward, doctors spent 19.7% (2 h/10 h shift) of their time on direct care and 7.4% (44.4 min/10 h shift) on medication tasks, compared to intervention ward doctors (25.7% (2.6 h/shift; p=0.08) and 8.5% (51 min/shift; p=0.40), respectively). Control ward nurses in the post-period spent 22.1% (1.9 h/8.5 h shift) of their time on direct care and 23.7% on medication tasks compared to intervention ward nurses (26.1% (2.2 h/shift; p=0.23) and 22.6% (1.9 h/shift; p=0.28), respectively). We found intervention ward doctors spent less time alone (p=0.0003) and more time with other doctors (p=0.003) and patients (p=0.009). Nurses on the intervention wards spent less time with doctors following eMMS introduction (p=0.0001).
conclusionseMMS introduction did not result in redistribution of time away from direct care or towards medication tasks. Work patterns observed on these intervention wards were associated with previously reported significant reductions in prescribing error rates relative to the control wards.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.