Incorporating The Electronic Medical Record Into The Daily Rounding Report: A Medical Informatics Quality Improvement Project

2012 ◽  
Author(s):  
Fadi Asfour ◽  
Glenn Takata
Keyword(s):  
Quality Improvement ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Informatics ◽  
Quality Improvement Project ◽  
Improvement Project

Nausea in Numbers: Electronic Medical Record Nausea and Vomiting Assessment for Children With Cancer

2020 ◽  
Vol 37 (3) ◽  
pp. 195-203
Author(s):  
Anna Evans ◽  
Mary Beth Vingelen ◽  
Candy Yu ◽  
Jennifer Baird ◽  
Paula Murray ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Assessment Tool ◽  
Quality Improvement Project ◽  
Nausea And Vomiting ◽  
Children With Cancer ◽  
Improvement Project ◽  
Patient Reported ◽  
The Impact

Purpose: Chemotherapy-induced nausea and vomiting (CINV) is a distressing, underrecognized effect of treatment that can occur in up to 80% of patients. The purpose of this quality improvement project was to evaluate the impact of implementation of a standardized nausea assessment tool, the Baxter Animated Retching Faces (BARF) scale, on nursing compliance with nausea assessment and the frequency and severity of patient-reported CINV for children with cancer. Method: The Plan-Do-Study-Act cycle was used to implement this practice change. With stakeholder support and hospital governance council approval, the BARF scale was introduced into the electronic medical record. Nurses were provided education about the assessment tool and were given badge buddy cards to prompt use of the tool, and workstation reminders were created. A root cause analysis was conducted to provide feedback for continuous quality improvement. Results: Retrospective, aggregate electronic medical record data from May 2018 to April 2019 were analyzed for assessment compliance, total number of admissions with vomiting episodes, and average BARF score. Over the 12-month implementation period, run charts demonstrated a shift in nursing practice with increased compliance in documented nausea assessments during the second 6-month period. There was not a significant decrease in patient-reported CINV. Conclusion: The use of standardized nausea assessments based on patient self-reporting can provide useful and consistent feedback for nurses and health care providers. This quality improvement project demonstrated increased compliance with nausea assessment documentation. Further studies are needed to demonstrate that improvements in nausea assessment may reduce the frequency and severity of CINV.

Evaluation of a video-assisted patient education program to reduce blood pressure delivered through the electronic medical record: results of a quality improvement project

2021 ◽  
Author(s):  
Edgar R Miller ◽  
Haitham Alzahrani ◽  
Daniel Bregaglio ◽  
Jon Christensen ◽  
Sarah Palmer ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Quality Improvement ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Lifestyle Intervention ◽  
Low Cost ◽  
Quality Improvement Project ◽  
Web Based ◽  
Improvement Project ◽  
Diet And Lifestyle

Abstract Background Low-cost, automated interventions that increase knowledge and skills around diet and lifestyle modifications are recommended for cardiovascular disease risk reduction. Methods We initiated a quality improvement program to assess the impact of a web-based diet and lifestyle intervention utilizing short animated videos in adults with high blood pressure (BP) at a primary care clinic in Saudi Arabia. We enrolled adults with elevated BP, not on BP medications, who were identified using the electronic medical record. We delivered a web-linked diet and lifestyle intervention using animated videos covering diet and lifestyle topics. Videos and reminders were sent weekly for five weeks. Outcomes were proportion who engaged in the program, returned for a repeat BP within 3-months, and change in BP. Results We enrolled 269 adult participants, with a mean (SD) age of 41.6 (12.4) years; 77% were male. At the conclusion of the pilot, we demonstrated a high level of engagement: overall, 69% of materials were viewed and 67% of patients returned for BP. Patients who returned, had a mean (SD) baseline systolic BP of 138.0 (7.2) mmHg and a large mean reduction in SBP from baseline: -10.5 mmHg (12.4; P<0.001). Conclusions In this quality improvement project, a video-assisted, web-based, diet and lifestyle intervention had a high participation rate and a high return rate for reassessment of BP. While these findings suggest that this low-cost, automated intervention may have a great potential as a scalable support tool, randomized trials are needed in order to document its effectiveness.

Increasing patient medical record completion by assigning nurses to specific patients in maternity ward at Munini hospital

2016 ◽  
Vol 24 (4) ◽  
pp. 327-334
Author(s):  
Yvonne Ufitinema ◽  
Rex Wong ◽  
Eva Adomako ◽  
Léonard Kanyamarere ◽  
Egide Kayonga Ntagungira ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Medical Record ◽  
Medical Records ◽  
Cost Effective ◽  
Completion Rate ◽  
Quality Improvement Project ◽  
Post Intervention ◽  
Improvement Project ◽  
Content Type ◽  
Efficient Care

Purpose The purpose of this paper is to describe the quality improvement project to increase the medical record documentation completion rate in a district hospital in Rwanda. Despite the importance of medical records to support high quality and efficient care, incomplete documentation is common in many hospitals. Design/methodology/approach The pre- and post-intervention record completion rate in the maternity unit was assessed. Intervention included assigned nurse to specific patients, developed guideline, provided trainings and supervisions. Findings The documentation completion rate significantly increased from 25 per cent pre-intervention to 67 per cent post-intervention, p < 0.001. The completeness of seven out of the ten elements of medical records also significantly increased. Practical implications The quality improvement project created a cost-effective intervention that successfully improved the documentation completion rate. Ongoing monitoring should be continued to learn sustainability. Originality/value The results are useful for hospitals with similar settings to improve completion of nursing documentation and increase nursing accountability on patient care.

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