Optimizing Usability of Electronic Medical Records to Meet and Measure Quality Initiatives
Sarah E. Shultz, MSN, RN, NE-BC; Mikel W. Hand, EdD, RN, OCN, NE-BC, NEA-BC
- Sigma Affiliation
- Omicron Psi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Shultz, Sarah E. by View
Popular Works for Shultz, Sarah E. by Download
The purpose of this evidence based practice project is to improve usability of the Electronic Medical Record (EMR) to demonstrate consistent compliance with venous thromboembolism (VTE) and heart failure (HF) Core Measures. Consistently meeting core measures is important for optimal patient care and reimbursement..
Strength of Evidence: Systematic reviews, a multinational cross-sectional study, and a multicenter, randomized controlled trial all demonstrate a positive impact on suboptimal prophylaxis and treatment for VTE and HF quality measures, with improved EMR usability.
Proposed Practice Change:
The proposed change involves modifying the EMR program in order to improve usability in order entry, documentation, efficiency of review, and communication between reviewers and clinicians. This will require modifying the EMR program in order to improve usability, order entry, documentation, efficiency of review, and communication between reviewers and clinicians
Implementation Strategies: EMR program changes aimed at promoting appropriate orders include building specific orders into all admission order sets. The changes aimed at promoting appropriate documentation include building in reminders for nursing staff. Those intended to promote efficient review include creating views for quality nurses to review orders and documentation for these quality measures which pull pertinent information from the EMR, negating the need for individual, manual chart review. The changes to the EMR aimed at improving communication include developing instant messaging within EMR to facilitate communication between quality nurses and staff nurses and physicians.
Stakeholders include physicians ordering interventions required by VTE and HF Core Measures, nurses implementing and documenting these interventions, and quality nurses reviewing the ordering and documentation. Patients and healthcare leaders must also be included due to associated clinical and financial outcomes.
The impact on efficiency of the audit for core measure compliance will be measured based on comparisons of time tests conducted before and after changes to the EMR have been made. Perceptions of system usability will be evaluated using pre and post implementation data from Brookes’ System Usability Scale.
|Review Type||Peer-review: Single Blind|
|Research Approach||Pilot/Exploratory Study|
|Keywords||Electronic Medical Records;
Evidence Based Practice
|MESH Subject(s)||Electronic Health Records;
|MESH Subject(s)||Electronic Health Records;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Lyerla, Frank; Durbin, Christine (2016-03-17)Purpose: The American Recovery and Reinvestment Act (Centers for Medicare and Medicaid Services, 2010) incentivized the adoption of electronic health records (EHR) in healthcare settings. The adoption rate of these systems ...
Evidence Leveling: Electronic Health Record (EHR) Choice for Perceived Nursing Benefit, Usability, Acceptance and Satisfaction Judd, Deborah M.; Sackett, Kay M. (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Dissemination of extensive integrative review and evidence leveling regarding perceived EHR benefit, usability, acceptance, and satisfaction among nurses and factors ...
DeChance, Cathy M. (2018-03-14)The nurses process when implementing the Morse Fall Risk Scale was examined through an explanatory case study. The study included data from surveys, observations, interviews, electronic health record, and review of data ...
Davies, Sarah J. (2016-03-21)Session presented on Sunday, November 8, 2015: It will have been demonstrated earlier in the symposium how the pressures of increasing demand of research output, and the changing publishing landscape, has resulted in a ...
Conceptual Framework for Developing Guideline-Based Performance Measures to Evaluate Evidence-Based Practice and Enhance Data Quality Wang, DannyThis presentation describes a conceptual framework for developing guideline-based performance measures. Through key alignments made between the development of guidelines and guideline-based performance measures, enhancements ...