We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Development and Implementation of an Electronic Health Record Generated Surgical Handoff and Rounding Tool.
- Authors
Raval, Mehul V.; Rust, Laura; Thakkar, Rajan K.; Kurtovic, Kelli J.; Nwomeh, Benedict C.; Besner, Gail E.; Kenney, Brian D.
- Abstract
Electronic health records (EHR) have been adopted across the nation at tremendous effort and expense. The purpose of this study was to assess improvements in accuracy, efficiency, and patient safety for a high-volume pediatric surgical service with adoption of an EHR-generated handoff and rounding list. The quality and quantity of errors were compared pre- and post- EHR-based list implementation. A survey was used to determine time spent by team members using the two versions of the list. Perceived utility, safety, and quality of the list were reported. Serious safety events determined by the hospital were also compared for the two periods. The EHR-based list eliminated clerical errors while improving efficiency by automatically providing data such as vital signs. Survey respondents reported 43 min saved per week per team member, translating to 372 work hours of time saved annually for a single service. EHR-based list users reported higher satisfaction and perceived improvement in efficiency, accuracy, and safety. Serious safety events remained unchanged. In conclusion, creation of an EHR-based list to assist with daily handoffs, rounding, and patient management demonstrated improved accuracy, increased efficiency, and assisted in maintaining a high level of safety.
- Subjects
OHIO; PREVENTION of medical errors; CHI-squared test; CHILDREN'S hospitals; PEDIATRIC surgery; MEDICAL personnel; ORGANIZATIONAL effectiveness; QUALITY assurance; STATISTICAL sampling; SCALE analysis (Psychology); SURVEYS; T-test (Statistics); PRE-tests &; post-tests; DATA analysis software; ELECTRONIC health records; DESCRIPTIVE statistics
- Publication
Journal of Medical Systems, 2015, Vol 39, Issue 2, p1
- ISSN
0148-5598
- Publication type
Article
- DOI
10.1007/s10916-015-0202-x