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J Am Med Inform Assoc 10:295-303 doi:10.1197/jamia.M1301
  • The Practice of Informatics

Installing and Implementing a Computer-based Patient Record System in Sub-Saharan Africa: The Mosoriot Medical Record System

Table 4

Results of Formal Time–Motion Study

Activity Paper Medical Record System Electronic Medical Record System p-value
Patient activities (mean minutes/visit) 101 Patients 115 Patients
 Waiting 20.9 13.2 0.06
 Time with provider 12.2 4.9 <0.0001
 Miscellaneous activities 4.3 9.1 0.03
 Registration 1.8 2.5 0.01
 Pharmacy 1.2 0.5 0.02
 Cashier 0.7 0.8 0.6
 Laboratory 0.5 0.7 0.5
 Total time per visit 41.5 31.9 0.1
Provider activities (% of workday) 16 Providers 14 Providers
 Time with patients 33 16 0.004
 Time with other staff 23 8 0.0002
 Miscellaneous activities 22 26 0.6
 Personal activities 15 46 0.001
 Searching for information 7 3 0.06
Clerk activities (% of workday) 5 Clerks 6 Clerks
 Personal activities 29 38 0.7
 Writing reports 18 2 0.2
 Time with other staff 14 5 0.1
 Registering patients 12 22 0.1
 Other patient interactions 12 15 0.7
 Miscellaneous activities 11 12 0.8
 Walking 2 2 0.7
 Searching for information 0.5 3 0.01

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