2.50
Hdl Handle:
http://hdl.handle.net/10755/164759
Category:
Abstract
Type:
Presentation
Title:
Using Electronic Documentation to Enhance the Triage Process
Author(s):
Licitra, Catherine; Kennedy, Janine
Author Details:
Catherine Licitra, RN, MSN, Nurse Leader, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: vadaszc@mskcc.org; Janine Kennedy, RN, MA, OCN
Abstract:
Administration/Leadership Development: The Urgent Care Center (UCC) of a comprehensive cancer center delivers emergency medical care to pediatric and adult oncology patients. The UCC averages 20,000 patient visits annually, with 47% of the population being admitted to the hospital. In order to develop the best plan of care for patients, the triage process needs to establish the foundation for which all other nursing and medical decisions are made. Due to the high acuity and volume, staff struggled with the lack of standardization of the triage process and the legibility of the triage note. An electronic triage documentation form was developed to standardize the triage elements that needed to be obtained. The electronic triage note increased patient safety by eliminating the illegibility factor. A work group was initiated that consisted of UCC clinical leadership, information system analysts and UCC staff. A review of triage standards was completed looking at other medical institution's forms and national guidelines. We decided on certain patient data elements that met standards but also facilitated patient flow. Vital signs including pain, chief complaint, cancer diagnosis and medical history were elements previously utilized. Advance directives status, triage interventions including CVC access and anticoagulation therapy usage were added. These elements improve communication amongst caregivers and provide a comprehensive picture of the patient's needs. A unit wide educational initiative was launched which educated all on how to navigate the electronic triage note, work flow revisions and patient interview and assessment process. The Go-Live initiative was supported by clinical leadership, super-users, and information system analysts. This process has enabled us to establish credible measurement methods such as comprehensiveness of data elements within the triage note, timeliness of data entry, and total patient triage time. By having an electronic tool, there is the ability to collect benchmarking data to establish relationships between chief complaint and cancer diagnosis. As the acuity and volume of oncology patients increases within the healthcare system, there will be an increased need for efficient, complete and legible documentation. The use of technology to assist in improving patient care delivery and flow has been a positive experience in the UCC.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing Electronic Documentation to Enhance the Triage Processen_GB
dc.contributor.authorLicitra, Catherineen_US
dc.contributor.authorKennedy, Janineen_US
dc.author.detailsCatherine Licitra, RN, MSN, Nurse Leader, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: vadaszc@mskcc.org; Janine Kennedy, RN, MA, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164759-
dc.description.abstractAdministration/Leadership Development: The Urgent Care Center (UCC) of a comprehensive cancer center delivers emergency medical care to pediatric and adult oncology patients. The UCC averages 20,000 patient visits annually, with 47% of the population being admitted to the hospital. In order to develop the best plan of care for patients, the triage process needs to establish the foundation for which all other nursing and medical decisions are made. Due to the high acuity and volume, staff struggled with the lack of standardization of the triage process and the legibility of the triage note. An electronic triage documentation form was developed to standardize the triage elements that needed to be obtained. The electronic triage note increased patient safety by eliminating the illegibility factor. A work group was initiated that consisted of UCC clinical leadership, information system analysts and UCC staff. A review of triage standards was completed looking at other medical institution's forms and national guidelines. We decided on certain patient data elements that met standards but also facilitated patient flow. Vital signs including pain, chief complaint, cancer diagnosis and medical history were elements previously utilized. Advance directives status, triage interventions including CVC access and anticoagulation therapy usage were added. These elements improve communication amongst caregivers and provide a comprehensive picture of the patient's needs. A unit wide educational initiative was launched which educated all on how to navigate the electronic triage note, work flow revisions and patient interview and assessment process. The Go-Live initiative was supported by clinical leadership, super-users, and information system analysts. This process has enabled us to establish credible measurement methods such as comprehensiveness of data elements within the triage note, timeliness of data entry, and total patient triage time. By having an electronic tool, there is the ability to collect benchmarking data to establish relationships between chief complaint and cancer diagnosis. As the acuity and volume of oncology patients increases within the healthcare system, there will be an increased need for efficient, complete and legible documentation. The use of technology to assist in improving patient care delivery and flow has been a positive experience in the UCC.en_GB
dc.date.available2011-10-27T12:06:28Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:28Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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