Abstract Details

Title Implementation of an electronic medical record-enhanced dashboard to optimize pre-rounding for residents on the Stroke Neurology service

Topic Practice, Policy, and Ethics

Presentation(s) P4 - Poster Session 4 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-064

Objective To implement an electronic dashboard using Sunrise Clinical Manager with the purpose of optimizing display and review of multiple variables related to clinical care of patients admitted to the University of Kentucky Stroke Neurology service.

Background Since the advent of the electronic medical record (EMR), healthcare providers have been able to collate patient data and follow trends over time more easily than they could with paper charts. While an EMR might allow for relatively easy access to all of a patient’s pertinent healthcare data with the ability to see changes in time, this often involves reviewing multiple areas of a chart. However, EMR systems can be modified to provide access to specific variables of patient data within a single, easily accessible window.

Design/Methods We developed a custom-made dashboard that automatically imports the most common data points reviewed on a daily basis. Where possible, we included both numeric values and trend graphs for easier visualization of interval changes. The dashboard contained multiple variables including vital signs, National Institutes of Health Stroke Scale score, fluid intake and output, invasive lines and tubes, diet, last bowel movement, deep venous thrombosis prophylaxis, recent common laboratory results, current medications, “as needed” medications received in the last 24 hours, serum glucose and units of insulin received, radiology reports, and physical, occupational, and speech therapy recommendations. A pre- (n=22) and post-intervention (n=18) resident survey was completed. Data were analyzed using two-tailed Fisher’s exact tests.

Results After implementation of the dashboard, improvements were reported in multiple areas. All 18 residents were moderately/highly satisfied with the dashboard, and 17/18 considered that their work was more efficient when using the dashboard.

Conclusions Following implementation of a medical record-enhanced dashboard, residents reported high satisfaction levels, as well as higher perceived efficiency and improved ability to evaluate clinical aspects related to care of stroke patients.

Authors/Disclosures
Kevin F. O'Connor, Jr., MD (University of Kentucky Department of Neurology) PRESENTER	Dr. O'Connor has nothing to disclose.
Mauricio F. Villamar, MD, FAAN (Department of Neurology, The Warren Alpert Medical School of Brown University)	Dr. Villamar has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Ceribell. Dr. Villamar has or had stock in Ceribell.Dr. Villamar has received research support from Brown Physicians Inc.. Dr. Villamar has a non-compensated relationship as a Member of Editorial Board with Neurology: Clinical Practice that is relevant to AAN interests or activities. Dr. Villamar has a non-compensated relationship as a Member of Editorial Board with The Neurohospitalist that is relevant to AAN interests or activities. Dr. Villamar has a non-compensated relationship as a Co-Chair - Quality Improvement Committee with American Clinical Neurophysiology Society that is relevant to AAN interests or activities. Dr. Villamar has a non-compensated relationship as a Co-Leader, Practice and Compensation Survey Working Group with The Neurohospitalist Society that is relevant to AAN interests or activities.
Michael Dobbs, MD (University of Texas Rio Grande Valley of Medicine)	Dr. Dobbs has received publishing royalties from a publication relating to health care.

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