Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments

The primary goal of introducing digital information systems in healthcare organisations is to improve care processes and outcomes, however, studies that investigate the impact of digital information systems on the day-to-day operations management from the perspective of workflow and consumer satisf...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Desale Tewelde Kahsay, Sanna Salanterä, Janne Engblom, Mikko Häikiö, Laura-Maria Peltonen
Formato:	article
Lenguaje:	EN FI
Publicado:	Finnish Social and Health Informatics Association 2021
Materias:	emergency department information system duration of care satisfaction workload Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/55c47303bc40456c81d254cf7093163c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:55c47303bc40456c81d254cf7093163c
record_format	dspace
spelling	oai:doaj.org-article:55c47303bc40456c81d254cf7093163c2021-11-11T16:06:11ZImpact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments10.23996/fjhw.1099421798-0798https://doaj.org/article/55c47303bc40456c81d254cf7093163c2021-11-01T00:00:00Zhttps://journal.fi/finjehew/article/view/109942https://doaj.org/toc/1798-0798 The primary goal of introducing digital information systems in healthcare organisations is to improve care processes and outcomes, however, studies that investigate the impact of digital information systems on the day-to-day operations management from the perspective of workflow and consumer satisfaction in emergency departments are scarce. Therefore, this study aimed to explore the impact of a digital clinical logistics system on the duration of patient care, consumer satisfaction and shift leaders' experience of workload in emergency departments. A longitudinal prospective design was used. Three units participated in the study; an intervention unit, a control unit A (no implemented system) and a control unit B (system already in use). We collected data on care duration, consumer satisfaction and shift leaders' experience of workload for four weeks at five time points both before system implementation (summer 2015, spring 2016) and after system implementation (summer 2016, autumn 2016, winter 2016). The average care duration time increased in the postimplementation period in the intervention and control B units (p < 0.001). Duration of care was higher in the intervention unit than control unit B in summer 2016 (p < 0.001) and winter 2016 (p = 0.009). Similarly, duration of care in control unit A was higher than control unit B in spring 2016 (p < 0.001). Consumer satisfaction decreased in the intervention unit, in winter 2016 (p < 0.001) and the experience of workload increased in the intervention unit, in summer 2016 and autumn 2016 (p < 0.05). However, the patients-to-nurses ratio was doubled in the intervention unit in the last time point postimplementation when compared to the first timepoint, while it remained similar in the control units throughout the study period. This work demonstrated that a digital care logistics system may support in increasing the number of patients treated with the same nursing resources. However, this seems to connect to other outcome variables such as increased care duration, increased experience of workload and decreased consumer satisfaction in some postimplementation time points. Desale Tewelde KahsaySanna SalanteräJanne EngblomMikko HäikiöLaura-Maria PeltonenFinnish Social and Health Informatics Associationarticleemergency departmentinformation systemduration of caresatisfactionworkloadComputer applications to medicine. Medical informaticsR858-859.7Public aspects of medicineRA1-1270ENFIFinnish Journal of eHealth and eWelfare, Vol 13, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN FI
topic	emergency department information system duration of care satisfaction workload Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270
spellingShingle	emergency department information system duration of care satisfaction workload Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270 Desale Tewelde Kahsay Sanna Salanterä Janne Engblom Mikko Häikiö Laura-Maria Peltonen Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
description	The primary goal of introducing digital information systems in healthcare organisations is to improve care processes and outcomes, however, studies that investigate the impact of digital information systems on the day-to-day operations management from the perspective of workflow and consumer satisfaction in emergency departments are scarce. Therefore, this study aimed to explore the impact of a digital clinical logistics system on the duration of patient care, consumer satisfaction and shift leaders' experience of workload in emergency departments. A longitudinal prospective design was used. Three units participated in the study; an intervention unit, a control unit A (no implemented system) and a control unit B (system already in use). We collected data on care duration, consumer satisfaction and shift leaders' experience of workload for four weeks at five time points both before system implementation (summer 2015, spring 2016) and after system implementation (summer 2016, autumn 2016, winter 2016). The average care duration time increased in the postimplementation period in the intervention and control B units (p < 0.001). Duration of care was higher in the intervention unit than control unit B in summer 2016 (p < 0.001) and winter 2016 (p = 0.009). Similarly, duration of care in control unit A was higher than control unit B in spring 2016 (p < 0.001). Consumer satisfaction decreased in the intervention unit, in winter 2016 (p < 0.001) and the experience of workload increased in the intervention unit, in summer 2016 and autumn 2016 (p < 0.05). However, the patients-to-nurses ratio was doubled in the intervention unit in the last time point postimplementation when compared to the first timepoint, while it remained similar in the control units throughout the study period. This work demonstrated that a digital care logistics system may support in increasing the number of patients treated with the same nursing resources. However, this seems to connect to other outcome variables such as increased care duration, increased experience of workload and decreased consumer satisfaction in some postimplementation time points.
format	article
author	Desale Tewelde Kahsay Sanna Salanterä Janne Engblom Mikko Häikiö Laura-Maria Peltonen
author_facet	Desale Tewelde Kahsay Sanna Salanterä Janne Engblom Mikko Häikiö Laura-Maria Peltonen
author_sort	Desale Tewelde Kahsay
title	Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
title_short	Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
title_full	Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
title_fullStr	Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
title_full_unstemmed	Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
title_sort	impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments
publisher	Finnish Social and Health Informatics Association
publishDate	2021
url	https://doaj.org/article/55c47303bc40456c81d254cf7093163c
work_keys_str_mv	AT desaleteweldekahsay impactofadigitalcarelogisticssystemoncaredurationconsumersatisfactionandshiftleadersworkloadinemergencydepartments AT sannasalantera impactofadigitalcarelogisticssystemoncaredurationconsumersatisfactionandshiftleadersworkloadinemergencydepartments AT janneengblom impactofadigitalcarelogisticssystemoncaredurationconsumersatisfactionandshiftleadersworkloadinemergencydepartments AT mikkohaikio impactofadigitalcarelogisticssystemoncaredurationconsumersatisfactionandshiftleadersworkloadinemergencydepartments AT lauramariapeltonen impactofadigitalcarelogisticssystemoncaredurationconsumersatisfactionandshiftleadersworkloadinemergencydepartments
_version_	1718432413533601792

Impact of a digital care logistics system on care duration, consumer satisfaction and shift leaders' workload in emergency departments

Ejemplares similares