2.50
Hdl Handle:
http://hdl.handle.net/10755/623616
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Nursing Accuracy Improves with Embedded Clinical Decision Support Tools
Author(s):
Lee-Riggins, Andrea
Lead Author STTI Affiliation:
Non-member
Author Details:
Andrea Lee-Riggins, DNP, APRN-CNS, CCNS, CCRN
Abstract:

Providing anticoagulation therapy safely is a Joint Commission National Patient Safety Goal that can impact the safety of patients when performed incorrectly. The Nursing Professional Development Generalist and Informatics Nurse surmised that by incorporating clinical decision support (CDS) tools into nursing workflows during EMR training, nursing accuracy for PTT monitoring and timing, and Heparin nomogram calculations may improve; which would lead to improved nurses’ responsiveness in preventing harm to patients caused by: complex nomograms, insufficient PTT monitoring, and inconsistent EMR workflow knowledge. The ADPIE (Assessment, Diagnosis, Planning, Implementation, and Evaluation) process is the strategy that was utilized. After observing current EMR and nursing workflows at the unit level during Heparin administration (Assessment), it was determined that the EMR tools that were developed for the nurses, were inadequately and inconsistently utilized by the nurses. A Heparin simulation incorporating the CDS tools (e.g. Worklist, Sidebar Report, and hyperlinked Heparin calculators) was constructed and scripted for standardization and a 1-hour simulation session, which occurred over a 1 week period in April 2016, was mandated for all in-patient nurses (Planning and Implementation). The outcome of this educational activity demonstrated an improvement for PTT timing from 67% to 80% and Heparin nomogram calculation accuracy improved from 51% to 100%. In addition, 87% of the nurses demonstrated accurate independent application of the EMR workflow with the second validation scenario and many verbally recommended this strategy for all new hire nurses during hospital orientation (Evaluation).

Keywords:
nurse training; program development
Repository Posting Date:
1-Dec-2017
Date of Publication:
1-Dec-2017
Conference Date:
2017
Conference Name:
2017 ANPD Annual Convention
Conference Host:
Association for Nursing Professional Development (ANPD)
Conference Location:
New Orleans, Louisiana, USA
Description:
2017 ANPD Annual Convention: Aspire to Transform. Held at the Hyatt Regency New Orleans.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleNursing Accuracy Improves with Embedded Clinical Decision Support Toolsen_US
dc.contributor.authorLee-Riggins, Andreaen
dc.contributor.departmentNon-memberen
dc.author.detailsAndrea Lee-Riggins, DNP, APRN-CNS, CCNS, CCRNen
dc.identifier.urihttp://hdl.handle.net/10755/623616-
dc.description.abstract<p>Providing anticoagulation therapy safely is a Joint Commission National Patient Safety Goal that can impact the safety of patients when performed incorrectly. The Nursing Professional Development Generalist and Informatics Nurse surmised that by incorporating clinical decision support (CDS) tools into nursing workflows during EMR training, nursing accuracy for PTT monitoring and timing, and Heparin nomogram calculations may improve; which would lead to improved nurses&rsquo; responsiveness in preventing harm to patients caused by: complex nomograms, insufficient PTT monitoring, and inconsistent EMR workflow knowledge. The ADPIE (Assessment, Diagnosis, Planning, Implementation, and Evaluation) process is the strategy that was utilized. After observing current EMR and nursing workflows at the unit level during Heparin administration (Assessment), it was determined that the EMR tools that were developed for the nurses, were inadequately and inconsistently utilized by the nurses. A Heparin simulation incorporating the CDS tools (e.g. Worklist, Sidebar Report, and hyperlinked Heparin calculators) was constructed and scripted for standardization and a 1-hour simulation session, which occurred over a 1 week period in April 2016, was mandated for all in-patient nurses (Planning and Implementation). The outcome of this educational activity demonstrated an improvement for PTT timing from 67% to 80% and Heparin nomogram calculation accuracy improved from 51% to 100%. In addition, 87% of the nurses demonstrated accurate independent application of the EMR workflow with the second validation scenario and many verbally recommended this strategy for all new hire nurses during hospital orientation (Evaluation).</p>en
dc.subjectnurse trainingen
dc.subjectprogram developmenten
dc.date.available2017-12-01T19:44:45Z-
dc.date.issued2017-12-01-
dc.date.accessioned2017-12-01T19:44:45Z-
dc.conference.date2017en
dc.conference.name2017 ANPD Annual Conventionen
dc.conference.hostAssociation for Nursing Professional Development (ANPD)en
dc.conference.locationNew Orleans, Louisiana, USAen
dc.description2017 ANPD Annual Convention: Aspire to Transform. Held at the Hyatt Regency New Orleans.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.