AI Article Synopsis
- A health system introduced single sign-on (SSO) technology in 19 hospitals to streamline clinician access to electronic health records (EHR) by using identification badge readers instead of manual logins.
- The study aimed to evaluate how SSO impacted clinical workflow and saved time, measuring login durations before and after SSO implementation while calculating the dollar value of time saved for various healthcare professionals.
- Results showed significant time reductions: first-of-shift logins decreased by 5.3 seconds and reconnect logins by 20.4 seconds, totaling a weekly time savings of 943.4 hours across all facilities, translating to an annual savings of over $3.2 million in clinician time.
Article Abstract
Background: A large health system implemented computer workstation single sign-on (SSO) in 19 community hospitals. In SSO technology, manual keyboard login is replaced with an identification badge reader that clinicians swipe for expedited access to the electronic health record (EHR) and clinical applications while roaming the hospital.
Objective: To assess the clinical workflow and financial value of SSO implementation in reducing clinician time logging in to the EHR and clinical applications.
Methods: Mean login time duration before and following SSO implementation was measured over 128 logins during two seven-day periods across eight hospitals selected randomly from 19 facilities where the technology was live. Mean first-of-shift login duration and mean reconnect login duration during the rest of shift were compared prior to and post-SSO implementation. Dollar values of keyboard time saved were calculated for physicians, nurses, and ancillary clinicians. Total facility-wide and enterprise-wide clinician time liberated from keyboard use are reported in hours and in dollar value per week and per year.
Results: Following SSO implementation, first-of-shift login was reduced by 5.3 seconds (15.3 percent), and reconnect login duration in the remainder of the shift was reduced by 20.4 seconds (69.9 percent). The total weekly time savings realized by SSO was 943.4 hours (the equivalent of 78.6 12-hour shifts) across 19 hospitals, a mean of 49.7 hours (4.1 shifts) per facility. Annually, 49,056.8 hours (4,088.1 shifts) of mixed clinician time were liberated from keyboard use for the enterprise, a mean of 2,584.4 hours (215.4 shifts) per facility per year. The annual dollar value of clinician time liberated from keyboard use to care for patients was $3,201,001 for 19 facilities, or $168,474 per hospital. Future savings due to desktop virtualization and use of a thin client device, in lieu of replacing more costly desktop computers, increases the annual financial value conveyed by SSO to $3,330,601.
Conclusions: In the 19 hospitals evaluated, SSO improved clinician efficiency and delivered substantial financial value. The use of SSO is an effective method for liberating clinician time from keyboard use to focus on providing patient care, and can facilitate EHR use.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669364 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Impact of water, sanitation, and hygiene indicators on enteric viral pathogens among under-5 children in low resource settings.
Sci Total Environ
January 2025
Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Poor water, sanitation, and hygiene (WASH) are the primary risks of exposure to enteric viral infection. Our study aimed to describe the role of WASH conditions and practices as risk factors for enteric viral infections in children under 5. Literature on the risk factors associated with all-cause diarrhea masks the taxa-specific drivers of diarrhea from specific pathogens, limiting the application of relevant control strategies.
View Article and Find Full Text PDFApplication of clinician support tools to improve wound healing outcomes and simplify treatment selection for effective exudate management.
Wounds
December 2024
Smith+Nephew, Watford, Hertfordshire, UK.
Background: Achievement of moisture balance can be a critical factor affecting time to closure of nonhealing wounds, and dry wounds can take much longer to heal than those with high exudate levels. Whether the goal of management is to donate moisture to the wound or control excessive fluid until the cause has been identified and addressed, choice of dressing and other wound management products can affect nursing resources, clinical outcomes, concordance, and quality of life for the patient.
Case Reports: The cases discussed illustrate differences in management approaches for dry and wet wounds and show how clinician support tools (eg, tissue type, infection/inflammation, moisture imbalance, epithelial edge advancement [TIME] clinical decision support tool) can facilitate treatment decisions.
Healthcare providers' (HCPs) perspectives in initiating discussion on mammogram screening, and their perceived barriers and enablers to screening in women-A qualitative study.
PLoS One
January 2025
SingHealth Polyclinics, Singapore, Singapore.
Background: Breast cancer is the most common cancer in women, and mammogram screening can reduce breast cancer mortality. Healthcare providers' perspectives can have an impact on encouraging females to attend mammogram screening.
Objective: To understand healthcare providers' (HCPs) perspectives in initiating discussion on mammogram screening, and their perceived barriers and enablers to screening in women.
Creating custom GPTs for faculty development: An example using the Johari Window and Crucial Conversation frameworks for providing feedback to struggling students.
Med Teach
January 2025
Professor of Medicine and Executive Dean, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Feedback plays a crucial role in the growth and development of trainees, particularly when addressing areas needing improvement. However, faculty members often struggle to deliver constructive feedback, particularly when discussing underperformance. A key obstacle is the lack of comfort many faculty experience in providing feedback that fosters growth.
View Article and Find Full Text PDFAcute Stress Symptoms-Adult Scale/National Stressful Events Survey Short Scale (NSESSS): Assessing the immediate aftermath of the october 7 attacks on an internally displaced population.
Psychol Trauma
January 2025
Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem.
Objective: The Adult Scale/National Stressful Events Survey Short Scale (NSESSS) is an emerging brief screening measure for the severity of Acute Stress Symptoms based on the of acute stress disorder (ASD). Scant information is known about the NSESSS's psychometric properties among different cultures or populations exposed to an ongoing trauma and displacement. Therefore, the present study aimed to (a) assess for the first time the psychometric properties and construct validity of the Hebrew version of NSESSS in an internally displaced population following the massacre in Israel on October 7, 2023; and (b) assess the possible risk and protective predictors of ASD according to sociodemographic characteristics, types of trauma exposure, absence of basic needs, and social support.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!