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Decreasing the Nursing Documentation Burden During the Covid-19 Surge
Nurse Leader
|November 21, 2022
Summary
Nurses streamlined adult nursing assessments in electronic medical records (EMR) during COVID-19. This optimization reduced data points by 20%, saving time for patient care.
Area of Science:
- Health Informatics
- Nursing Practice
- Clinical Systems Optimization
Background:
- The COVID-19 pandemic highlighted inefficiencies in electronic medical record (EMR) nursing assessments.
- Nurses required a more intuitive and streamlined interface for adult nursing assessments.
Purpose of the Study:
- To optimize the adult nursing assessment within the EMR.
- To reduce duplicative data entry and increase patient interaction time.
Main Methods:
- Implemented a clinically led EMR optimization strategy.
- Eliminated unnecessary data elements in adult medical, surgical, and critical care assessments.
- Completed the project within a 5-month timeframe.
Main Results:
- Reduced nursing data entry points by 20%.
- Excluded or relocated a total of 433 data points.
- Created a more efficient nursing assessment process.
Conclusions:
- EMR optimization can significantly improve nursing workflow efficiency.
- Streamlining assessments allows for more direct patient care.
- This initiative demonstrates successful adaptation during a national health crisis.
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