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Stroke nurse compliance with assessment standards is enhanced by reducing the documentation burden: An implementation
Anjali Perera1, Lisa Smith, Brianna Garza
1At University of Texas Southwestern Medical Center in Dallas, TX, Anjali Perera is Assistant Nurse Manager, Neuroscience Intensive Care Unit; Lisa Smith is Assistant Nurse Manager, Neuroscience Intensive Care Unit; Brianna Garza is Staff Nurse, Neuroscience Intensive Care Unit; Donald Stout is Nurse Manager, Neuroscience Intensive Care Unit; Moez M. I. Bashir is Clinical Research Associate II; Samanta Allen is Staff Nurse, Neuroscience Intensive Care Unit; Amber Salter is Associate Professor, Department of Neurology; and DaiWai M. Olson is Professor, Department of Neurology.
Background:
Implementation research is focused on identifying barriers and facilitators to adopting evidence-based practices. Measuring pupil activity with a quantitative pupillometer (QP) has been repeatedly demonstrated to be a more evidence-based than subjective assessment of pupil reactivity. Yet, despite global availability, QP adoption is inconsistent. A possible influencing variable is documentation burden.
Purpose:
The purpose of this study is to explore whether technology that provides for automated documentation is a facilitator for implementing QP.
Methods:
This institutional review board-approved study explored data that were documented manually (manual cohort) and data that were directly uploaded into the electronic health record (automated-upload cohort). Compliance with the unit-based policy for pupil assessment was determined for each 4-hour period of time during the patient's stay in the intensive care unit.
Results:
There were no significant demographic differences between the 122 manual-entry cohort and 229 automated-entry cohort patients. The mean compliance in the automated-entry cohort of 65.0% (95% CI: 61.6-68.4%) was significantly higher than the mean compliance in the manual-entry cohort (47.7% [95% CI: 43.7-51.8%]; t = -6.42, P < 0.0001).
Implications:
A reduced documentation burden is associated with increased adoption of an evidence-based practice.
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