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Impact of Electronic Health Records on Nurses’ Productivity


CIN: Computers, Informatics, Nursing: May 2012 - Volume 30 - Issue 5 - p 237–241
doi: 10.1097/NXN.0b013e31824b29a8
Feature Article

As the use of electronic health records increases, it becomes necessary to address their global impact on nurses’ productivity in hospitals. A retrospective cross-sectional study was conducted to explore the impact of electronic health records on nurses’ productivity and to examine whether the impacts are moderated through case-mix index or adjusted patient-days. Two sources of data were linked and analyzed for years 2007 and 2008: the American Hospital Association survey and the Centers for Medicare & Medicaid Services data. Almost two-thirds of the respondent hospitals in both years (63.9% in 2007 and 68.4% in 2008) had a high electronic health record index (≥5). Hospitals with higher penetration of electronic health records had more RNs employed (coefficient = 0.234, P = .002) compared with hospitals with low penetration of electronic health records, even when controlling for adjusted patient-day volumes. This difference decreased for hospitals with higher case-mix index values. The study findings fail to suggest any financial savings or superior productivity in nurses due to usage of electronic health records.

Author Affiliations: Fleming Centre for Healthcare Management (Mr Abbass) and School of Public Health, University of Texas (Mr Helton), and Division of Pharmacy Administration and Public Health, Department of Clinical Sciences and Administration, University of Houston, College of Pharmacy (Ms Mhatre and Dr Sansgiry), Houston, TX.

This study has no source of funding.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Sujit S. Sansgiry, PhD, Division of Pharmacy Administration and Public Health, Department of Clinical Sciences and Administration, College of Pharmacy, University of Houston, 1441 Moursund St, Houston, TX 77030 (

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