Emergency department (ED) providers face increasing task burdens and requirements related to documentation and paperwork. To decrease the mental task burden for providers, our institution developed an infographic that illustrates which forms are necessary for complete documentation of nonemergent invasive procedures.
Our study aims to analyze the effect of a nonelectronic health record-based infographic, paired with direct feedback, on compliance with nonemergent invasive procedure documentation performed in the ED.
This was a retrospective, observational study of all procedure documentation performed in the ED with a pre-/post-test design. The study included two 8-month study periods, 1 year apart. The preimplementation period used for comparison was January 1, 2019–August 31, 2019, and the postimplementation period was January 1, 2020–August 31, 2020. All invasive procedures that required documentation in addition to a procedure note were included in the study. The primary outcome was the percentage of compliance with documentation requirements.
During the pre- and postimplementation study periods, 486 and 405 charts with nonemergent procedures were identified, respectively. In the preimplementation period, 278 (57%) procedures were compliant with all documentation, vs. the postimplementation period, where 287 (71%) procedures were compliant (p < 0.001).
Implementing an invasive procedure documentation infographic and direct feedback improved overall documentation compliance for nonemergent invasive procedures.
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- Impact of the World Health Organization surgical safety checklist on patient safety.Anesthesiology. 2019; 131: 420-425
- Physician task load and the risk of burnout among US physicians in a national survey.Jt Comm J Qual Patient Saf. 2021; 47: 76-85
- Evaluation of a user guidance reminder to improve the quality of electronic prescription messages.Appl Clin Inform. 2014; 5: 699-707
- Strategies for improving physician documentation in the emergency department: a systematic review.BMC Emerg Med. 2018; 18: 36
- Changing physician behavior: what works?.Am J Manag Care. 2015; 21: 75-84
- Why healthcare professionals should know a little about infographics.Br J Sports Med. 2016; 50: 1104-1105
- Improving asthma documentation in a paediatric emergency department.J Paediatr Child Health. 1995; 31: 130-133
- Raising our HEADSS: adolescent psychosocial documentation in the emergency department.Acad Emerg Med. 2004; 11: 648-655
- Pilot interventions to improve the documentation of pediatric injuries in the emergency department, Critical care medicine as a subspecialty of emergency medicine.CJEM. 2000; 2: 252-257
- The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence.Patient Educ Couns. 2006; 61: 173-190
Published online: July 22, 2022
Accepted: July 10, 2022
Received in revised form: July 8, 2022
Received: April 26, 2022
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