PART 1 : THE CONTRIBUTION OF INTEROPERABILITY IN HEALTH INFORMATION SYSTEM
WHAT IS THE IMPACT OF HAVING INFORMATION READILY AVAILABLE?
Based on recent studies, physicians and medical staff spend too much time searching and reviewing information.
Information is of course at the core of the clinical process. Reviewing available information alongside patient assessments, diagnosing, planning & delivering care, monitoring progress and adapting as necessary – involves a constant cycle of review-of and addition-to, clinical documentation.
Searching for information incurs time – both on the part of the clinician seeking the information and that of the colleague(s) asked to provide the same. The Ignetica research finds that Nurses spend an average of 62 minutes a day searching for information, and doctors spend an average of 70 minutes per day – this represents a very significant consumption of valuable clinical time, but more critically in the intervening period, delivery of care can be disrupted whilst the information is sought.
Rechecking and the number of times of rechecking before information was typically available was also analysed, indicating an average of 63 minutes per person, per week being consumed. During this time patient care could be delayed with implications in terms of patient experience as well as consumption of resources and capacity in the meantime.
In total over 50% of the average clinicians time is spent with clinical documentation (Clinical Documentation can of course span multiple information types including patient notes and letters, observations, order communications, laboratory results, pharmacy and beyond ….) this highlights just how significant the level of information interaction is, and how even small changes to the means of interacting can have a very significant implication for clinicians. Perceptions were also sought as part of this study. It was considered “likely”, which was the frequent response from doctors, that information delays will impact on the patient’s journey and their length-of-stay.
of the average clinician’s time is spent with clinical documentation
– GOOD TO KNOW –
Data integration can improve data flow and efficiency in optimizing the flow between the different interfaces and in sharing them appropriately within and outside healthcare organisations.