Cost-benefit analysis of bedside terminals

Bedside terminals are an approach to data entry that is maximally effective, due to capture at the point of care, to meet the challenges facing nursing today in relation to information documentation. The purpose of this evaluation research study was to determine if bedside terminals are justifiable though a cost-benefit analysis.The General Systems Theory, which was formulated by Ludwig von Bertalanffy in the late 1920's, was the theoretical framework used for this study (Putt, 1978).A non-standardized checklist of factors was developed by the researcher to evaluate the associated costs. related to bedside terminals. The factors included patient census, acuity, lost charges, reimbursement denials, and medication errors.A convenience sample of one surgical nursing unit from a large midwestern metropolitan hospital was chosen for data collection. Based on the literature, monetary values werearbitrarily assigned to the factors. Costs were assigned based on projected figures for bedside terminal implementation in 1993 obtained from the literature. All participants were notified of rights as human subjects and the confidentiality of this study.This study was significant because the results will be added to the limited information on the justification of bedside terminals using a cost-benefit analysis available in the current literature.Projections of bedside terminal costs were limited due to the unwillingness of bedside terminal vendors to provide current costs to compare against the quantitative benefits collected in this study. Reimbursement denials were not obtained due to the accounting practices of the institution. Due to these limitations, a prospective rather than the retrospective approach used in this study for data collection would be recommended to ensure obtaining information on all data elements. The results of this study should be considered when contemplating purchase of bedside terminals. Based on the results of this cost-benefit analysis study, the purchase of bedside terminals is cost-justified. A favorable return on investment of a one year payback was obtained.School of NursingThesis (M.S.