Evaluation of the Nursing Work Condition under Electronic Medical Record System Based on Field-work Investigation —From Comparison of the Tasks before and after Introducing Electronic Medical Record System—

Abstract

 This research aims to evaluate the present conditions of using electronic medical record system based on the changes revealed by comparing the ward nursing tasks under the ordering system with those under the electronic medical record system. In practice, we demonstrated our proposed field-work technique containing interviews, close-eye observation, post facto Q & A and follow-up Q & A in one ward before and after the system renewal and grasped the actual conditions of the ward nursing tasks. As a results, changes have been perceived in 30% of all tasks due to the reduction of works in preparing and arranging paper medical records, new arising of electronically patient identifying work in infusion or injection, the alteration of media used in entering and transmitting the information etc. Through the analysis of these contents, there appeared the points for improvement as to the functions of electronic medical record system. Our approach in this research is conceived as an efficient means to grasp the “context of use”, which is important in the “human centered design processes” by ISO13407, for the ward nursing tasks under electronic medical record system.