Hospital Corporation of America (HCA) is redesigning the EHR to standardize and reconfigure nursing documentation using an evidence-based design that aligns minimum documentation requirements with ideal workflow and provides a consistent user interface through the application of advance informatics…
An evaluation of inpatient nursing admission assessment documentation was conducted to determine the value each assessment element provides. Using a decision support tool, key stakeholders identified over 30% of the elements could potentially be removed…
Ten years after implementation of the electronic health record, what are nurses saying? In 2014, nurses were satisfied with the electronic health record. In 2018, nurses were still satisfied but identified barriers with system updates and documentation burden…
This literature review consists of an appraisal of nursing cognitive overload and electronic documentation burden literature. Review findings are synthesized into two themes: ‘user-centered redesign’ and ‘cognitive support needed for nurses…
A nurse informaticist led, quality improvement project to leverage target workflow documentation education to help improve nurses' efficiency within the electronic health record and decrease the amount of total time spent documenting during their shift…
A nursing efficiency project guided by the plan-do-study-act model improved nursing documentation satisfaction by 70% within 5 months of project institution…
In the spring of 2019, a Midwestern Academic Center embarked on a project to decrease nursing documentation burden in the electronic health record. The results of the project and implementation are presented along with future initiatives to decrease documentation burden…
Objectives: 1) Spotlight the value of the US Core Data for Interoperability (USCDI) to analyze nurses’ work. 2) Identify nursing decision support that includes interoperable core data. 3) Discuss teaching strategies to move nurses from narrative to structured documentation…
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