Abstract
Background
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.
Objectives
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.
Methods
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.
Results
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).
Conclusion
Implementing an invasive procedure documentation infographic and direct feedback improved
overall documentation compliance for nonemergent invasive procedures.
Keywords
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Article info
Publication history
Published online: July 22, 2022
Accepted:
July 10,
2022
Received in revised form:
July 8,
2022
Received:
April 26,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
