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      Using the time and motion method to study clinical work processes and workflow: methodological inconsistencies and a call for standardized research.

      Journal of the American Medical Informatics Association : JAMIA
      Checklist, Data Collection, methods, standards, Health Plan Implementation, statistics & numerical data, Humans, Medical Informatics, Reference Standards, Time and Motion Studies, Workflow

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          Abstract

          To identify ways for improving the consistency of design, conduct, and results reporting of time and motion (T&M) research in health informatics. We analyzed the commonalities and divergences of empirical studies published 1990-2010 that have applied the T&M approach to examine the impact of health IT implementation on clinical work processes and workflow. The analysis led to the development of a suggested 'checklist' intended to help future T&M research produce compatible and comparable results. We call this checklist STAMP (Suggested Time And Motion Procedures). STAMP outlines a minimum set of 29 data/ information elements organized into eight key areas, plus three supplemental elements contained in an 'Ancillary Data' area, that researchers may consider collecting and reporting in their future T&M endeavors. T&M is generally regarded as the most reliable approach for assessing the impact of health IT implementation on clinical work. However, there exist considerable inconsistencies in how previous T&M studies were conducted and/or how their results were reported, many of which do not seem necessary yet can have a significant impact on quality of research and generalisability of results. Therefore, we deem it is time to call for standards that can help improve the consistency of T&M research in health informatics. This study represents an initial attempt. We developed a suggested checklist to improve the methodological and results reporting consistency of T&M research, so that meaningful insights can be derived from across-study synthesis and health informatics, as a field, will be able to accumulate knowledge from these studies.

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          Author and article information

          Journal
          21527407
          3168304
          10.1136/amiajnl-2011-000083

          Chemistry
          Checklist,Data Collection,methods,standards,Health Plan Implementation,statistics & numerical data,Humans,Medical Informatics,Reference Standards,Time and Motion Studies,Workflow

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