Development and Implementation of an Electronic Health Record Generated Surgical Handoff and Rounding Tool

Mehul V. Raval*, Laura Rust, Rajan K. Thakkar, Kelli J. Kurtovic, Benedict C. Nwomeh, Gail E. Besner, Brian D. Kenney

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish (US)
Article number8
JournalJournal of Medical Systems
Volume39
Issue number2
DOIs
StatePublished - 2015

Keywords

  • Electronic medical record
  • Patient handoffs
  • Pediatric surgery
  • Quality improvement
  • Rounding tools
  • Surgery

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Information Systems
  • Health Informatics
  • Health Information Management

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