2.50
Hdl Handle:
http://hdl.handle.net/10755/162883
Type:
Presentation
Title:
Computerized Medical Screening Exams/Triage in the Emergency Department
Abstract:
Computerized Medical Screening Exams/Triage in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Santana, Andre, RN
P.I. Institution Name:Kaiser Foundation Hospital, Oakland Campus
Contact Telephone:510/752-7667
Co-Authors:Ryan Lambert, Jr.; and Felicia Green, RN, MSQA
Clinical Topic: The purpose of this project was to develop a computerized application which aides the nurse in completing Medical Screening Exams (MSE) or Triage forms. This application will include mandatory fields, auto-population, and built in logic to prompt and guide the nurse through the MSE process. With this prompting and guidance the application increases legibility, and compliance with state and federal regulations (mainly EMTALA) regarding the MSE/Triage. Implementation: The present MSE process and workflow was reviewed and examined. Areas of non-compliance were noted. A prototype application was designed using Microsoft Access. System testing was performed on a Windows NT platform with the main application residing on a restricted server. This allowed the application to be accessed through multiple stations at one time. The user-interface was designed, mandatory fields identified, and fields which would use auto-population (e.g. time) were set. The application was then tested with real-time workflow. Based on the test, alterations to system's function were added. All employees were trained individually. The MSE application was implemented on July 17, 2002. Outcomes: The computerized MSE has had many positive outcomes with its use. 1) all MSE's are legible and readable; 2) compliance has increased greatly in fields being addressed.; 3) the quality of assessments have improved in content and length; 4) Quality Assurance as become content and quality based as compared to omission based; and 5) individual production can be reviewed and shared leading to an increase in production. The most significant impact was in the registration process and documentation flow. MSE's print directly to registration eliminating the need for hand delivery. Since the MSE prints directly to registration a decrease in time of the registration process was recognized. Staff appreciated a tool that assists them in capturing required data assuring compliance with EMTALA regulations. Recommendations: The use of computers in the emergency department has many positive possibilities. The ability of applications to mandate entries, use logic to prompt action, and uniform output, are just a few. This process can fit well into most of the workflow present in the ED today. Implementation can be less costly if an ED already has computers placed where MSE/Triages occurs. [Clinical Poster]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComputerized Medical Screening Exams/Triage in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162883-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Computerized Medical Screening Exams/Triage in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Santana, Andre, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaiser Foundation Hospital, Oakland Campus</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">510/752-7667</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Santarn@pacbell.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ryan Lambert, Jr.; and Felicia Green, RN, MSQA</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose of this project was to develop a computerized application which aides the nurse in completing Medical Screening Exams (MSE) or Triage forms. This application will include mandatory fields, auto-population, and built in logic to prompt and guide the nurse through the MSE process. With this prompting and guidance the application increases legibility, and compliance with state and federal regulations (mainly EMTALA) regarding the MSE/Triage. Implementation: The present MSE process and workflow was reviewed and examined. Areas of non-compliance were noted. A prototype application was designed using Microsoft Access. System testing was performed on a Windows NT platform with the main application residing on a restricted server. This allowed the application to be accessed through multiple stations at one time. The user-interface was designed, mandatory fields identified, and fields which would use auto-population (e.g. time) were set. The application was then tested with real-time workflow. Based on the test, alterations to system's function were added. All employees were trained individually. The MSE application was implemented on July 17, 2002. Outcomes: The computerized MSE has had many positive outcomes with its use. 1) all MSE's are legible and readable; 2) compliance has increased greatly in fields being addressed.; 3) the quality of assessments have improved in content and length; 4) Quality Assurance as become content and quality based as compared to omission based; and 5) individual production can be reviewed and shared leading to an increase in production. The most significant impact was in the registration process and documentation flow. MSE's print directly to registration eliminating the need for hand delivery. Since the MSE prints directly to registration a decrease in time of the registration process was recognized. Staff appreciated a tool that assists them in capturing required data assuring compliance with EMTALA regulations. Recommendations: The use of computers in the emergency department has many positive possibilities. The ability of applications to mandate entries, use logic to prompt action, and uniform output, are just a few. This process can fit well into most of the workflow present in the ED today. Implementation can be less costly if an ED already has computers placed where MSE/Triages occurs. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:46Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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