Patients call from opposite ends of the floor. Alarms ring constantly. Computer delays interrupt workflows.([FOOTNOTE=Alegent Health White Paper. Improving Care Delivery and Nursing Workflow: A Clinician Usability Study of the Motion C5 Mobile Clinical Assistant. Published Dec. 2007. Accessed Jan. 29, 2018.],[ANCHOR=],[LINK=])
These daily realities can result in frequent interruptions — an average of 46.3 interruptions per shift — and waste up to 10 percent of a clinician's time.([FOOTNOTE=Weigl M, Müller A, Zupanc A. Hospital doctors’ workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20:491–497. doi:10.1136/bmjqs.2010.043281.],[ANCHOR=],[LINK=]),([FOOTNOTE=Tipping MD, Forth VE, O'Leary KJ, et al. Where did the day go? A time-motion study of hospitalists. J Hosp Med. 2010;5(6):323–328. doi: 10.1002/jhm.790.],[ANCHOR=],[LINK=]) See how clinicians are managing their growing challenges.
Identifying where minutes are lost is the first step to reclaiming time. For example, in a typical shift, you can spend up to 59 percent of your time on charting and coordinating care.3,([FOOTNOTE=Hendrich A, Chow MP, Skierczynski BA, et al. A 36-hospital time and motion study: How do medical-surgical nurses spend their time? Perm J. 2008;12(3):25-34.],[ANCHOR=],[LINK=]) You can receive as many as 1,000 alarms and walk up to five miles.4,([FOOTNOTE=Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685–690. doi: 10.1097/ACO.0000000000000260.],[ANCHOR=],[LINK=]) And you may spend a total of 48 minutes of your shift waiting for computer access.([FOOTNOTE=Ergotron Healthcare. How Digital Healthcare Helps and Hurts Nurses. Published Jul. 22, 2014. Accessed Jan. 29, 2018.],[ANCHOR=Ergotron Website],[LINK=https://www.ergotron.com/portals/0/literature/other/ergotronnursingreport.pdf])
Customizing patient parameters can reduce alarms by 50 percent.([FOOTNOTE=American Association of Critical-Care Nurses. Alarm management. Crit Care Nurse. 2013;33(5):83–86.. Accessed Jan. 29, 2018.],[ANCHOR=View Abstract],[LINK=http://ccn.aacnjournals.org/content/33/5/83.full]) Using early warning scores (EWS) can decrease average length of stay by 0.4 days.([FOOTNOTE=Bellomo R, Ackerman M, Bailey M, et al. A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards. Crit Care Med. 2012;40(8):2349–2361. doi: 10.1097/CCM.0b013e318255d9a0.],[ANCHOR=],[LINK=]) Integrating wireless patient monitoring and EWS can reduce falls and increase patient survival by 6 percent.8
Wireless patient monitoring can save you 30 minutes per shift.([FOOTNOTE=Turisco F, Rhoads, J. Equipped for Efficiency: Improving Nursing Care Through Technology. Published Dec. 2008. Accessed Jan. 29, 2018.],[ANCHOR=California Health Care Foundation Website],[LINK=https://www.chcf.org/wp-content/uploads/2017/12/PDF-EquippedForEfficiency.pdf]) Other innovations, such as using robots to deliver medical supplies, saved clinicians 270 to 450 minutes per day.([FOOTNOTE=Wicklund E. Study: RTLS technology can save hospitals time and money, boost care. Published Nov. 17, 2009. Accessed Jan. 29, 2018.],[ANCHOR=HealthcareITNews Website],[LINK=http://www.healthcareitnews.com/news/study-rtls-technology-can-save-hospitals-time-and-money-boost-care])
Mobile devices can save 25 percent of charting time.9 Transmitting patient monitoring data automatically to a charting system saved nurses one to two minutes of time spent reading and updating charts, per patient.9
Wireless communications can dramatically reduce response times to alarms — from 9.5 minutes to 39 seconds, in one case — and increase response rates.9 And real-time locating systems can virtually eliminate time spent searching for equipment.10