A novel approach to leveraging electronic health record data to enhance pediatric surgical quality improvement bundle process compliance.
J Pediatr Surg
; 51(6): 1030-3, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-26995516
ABSTRACT
PURPOSE:
Quality improvement (QI) bundles have been widely adopted to reduce surgical site infections (SSI). Improvement science suggests when organizations achieve high-reliability to QI processes, outcomes dramatically improve. However, measuring QI process compliance is poorly supported by electronic health record (EHR) systems. We developed a custom EHR tool to facilitate capture of process data for SSI prevention with the aim of increasing bundle compliance and reducing adverse events.METHODS:
Ten SSI prevention bundle processes were linked to EHR data elements that were then aggregated into a snapshot display superimposed on weekly case-log reports. The data aggregation and user interface facilitated efficient review of all SSI bundle elements, providing an exact bundle compliance rate without random sampling or chart review.RESULTS:
Nine months after implementation of our custom EHR tool, we observed centerline shifts in median SSI bundle compliance (46% to 72%). Additionally, as predicted by high reliability principles, we began to see a trend toward improvement in SSI rates (1.68 to 0.87 per 100 operations), but a discrete centerline shift was not detected.CONCLUSION:
Simple informatics solutions can facilitate extraction of QI process data from the EHR without relying on adjunctive systems. Analyses of these data may drive reductions in adverse events. Pediatric surgical departments should consider leveraging the EHR to enhance bundle compliance as they implement QI strategies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
/
Adhesión a Directriz
/
Atención Perioperativa
/
Registros Electrónicos de Salud
/
Mejoramiento de la Calidad
/
Paquetes de Atención al Paciente
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
Límite:
Child
/
Humans
Idioma:
En
Revista:
J Pediatr Surg
Año:
2016
Tipo del documento:
Article