330 - Optimizing EMR to Improve Communication in the Perioperative Setting
Description: Title: Optimizing EMR to Improve Communication in the Perioperative Setting Problem Statement: Delay is a common experience in the Perioperative setting for both patients and providers. Delays in the Operating Room (OR) can increase patients’ anxiety and decrease their perception of care. To increase patient satisfaction rates, we need to improve department strategies of communicating OR delays to patients. Implementing use of innovative technology/ tools will alert staff in real time and give patients important information about their care. Description of team: Surgical nursing leadership consisting of perioperative nurse managers and OR nurse service coordinators, perioperative staff nurses, patient nurse liaison, clinical coordinators, informatics coordinator, anesthesia coordinators and customer service representatives. Preparation and planning: The goals of this project were to increase communication of surgical delays and procedural updates, decrease negative patient comments related to Press Ganey item: Information about delays, and work collaboratively with Information Technology (IT) Department for integrating improved communication elements into the Electronic Medical Record (EMR).
Assessment: A survey on overall understanding of communicating changes in scheduled surgery start time and utilizing a standard communication tool and protocol was given to 114 nurses. Survey responses revealed: (1) lack of education on importance of utilizing available tool to communicate changes in surgery scheduled start time; (2) inconsistent communication of change in OR scheduled start time (3) a need for EMR optimization. Implementation: Data was collected to assess compliance with utilization of available tool to communicate change in surgery start time. Patient satisfaction comments were reviewed to monitor an increase in positive or negative comments. Changes and updates were made to improve “Patient Communication” information in EMR, and staff were educated on utilization and documentation. Outcomes: Utilization of available tool to communicate change in surgery start time increased from 34% to 46%. An increase in positive patient comments was noted in “Patient Satisfaction Interactive Dashboard (Information Provided about Delays)”. Implication for Perioperative Nursing: Increase in communication resulted in positive feedback from patients. Optimization of EMR is necessary to improve communication. Education of staff on importance of communication is necessary.