Medical Staff

Most of the hospitalist's day dedicated to documentation

Hospitalist Leadership Connection, August 31, 2010

Hospitalists spend more time documenting and reviewing electronic medical records than directly with the patient, according to a new study, “Where did the day go? A time-motion study of hospitalists,” published in the July/August Journal of Hospital Medicine.
 
Northwestern University researchers shadowed 24 hospitalists for two complete shifts and recorded their activities.

Researchers found that hospitalists only spend 17% of their time on direct patient care and 64% on indirect patient care, including electronic medical records and communication. Sixteen percent of the time, hospitalists work on more than one activity. They spent about 6% of their time to each of the following: professional development, personal time, and traveling.

Although patient volume did affect the time hospitalists spent on documentation and communication with others, patient load didn’t affect how much time hospitalists spent with each patient. However, hospitalists who had more patients reported putting off documentation until the end of the day or the next day and also spent less time communicating to other care providers.

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