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A New Era in EMR: BJC’s Strategy to Cut Down Documentation Waste
BJC’s clean sweep initiative marks a transformative approach to optimizing electronic medical record (EMR) documentation, particularly within high-traffic flowsheets. The BJC clinical informatics services (CIS) team presents a comprehensive strategy aimed at alleviating the excessive charting burdens faced by nursing staff. Through the utilization of Epic tools like Workflow Analyzer, Slicer Dicer, and NEAT, this initiative identifies non-clinical content and processes inefficiencies, significantly reducing the nursing documentation workload. Attendees will benefit from insights into the project timeline, clinician feedback, and preliminary outcomes that illustrate improvements in nursing efficiency and patient care quality. The presentation will underscore the importance of a “less is more” philosophy, exemplified by the streamlining of care plans to adhere to the “within defined limits” (WDL) concept, minimizing documentation clutter while enhancing compliance with regulatory standards. Participants will learn about the collaborative processes between clinical informaticists and front-line clinicians and how strategic data use drives sustainable changes in EMR practices, ultimately fostering a more inclusive approach to patient management.
Key components and outcomes of a flowsheet documentation redesign process that decreased duplication, redundancy, and non-value-added tasks are discussed…
Documentation burden is a complex issue consisting of many people, processes, policies/procedures, and external regulations. Documentation burden can result in a loss of documentation meaningfulness and efficiency, increased time away from patient care, and reduced joy in practice…
Purpose: The purpose of this quality improvement (QI) project was to implement the ECRI safe documentation practices toolkit on an acute-care medical-surgical unit to improve the integrity of nursing documentation while using the copy-paste functionality (CPF) and nurse satisfaction levels with ele…
This descriptive cross-sectional study explored the most and least frequently occurring unintended consequences experienced by nurses with the electronic health record…
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