First name
Raj
Middle name
M
Last name
Ratwani

Title

Workflow Analysis Driven Recommendations for Integration of Electronically-Enhanced Sexually Transmitted Infection Screening Tools in Pediatric Emergency Departments.

Year of Publication

2020

Number of Pages

206

Date Published

2020 Nov 10

ISSN Number

1573-689X

Abstract

<p>Adolescents are disproportionately affected by sexually transmitted infections (STIs). Failure to diagnose and treat STIs in a timely manner may result in serious sequelae. Adolescents frequently access the emergency department (ED) for care. Although ED-based STI screening is acceptable to both patients and clinicians, understanding how best to implement STI screening processes into the ED clinical workflow without compromising patient safety or efficiency is critical. The objective of this study was to conduct direct observations documenting current workflow processes and tasks during patient visits at six Pediatric Emergency Care Applied Research Network (PECARN) EDs for site-specific integration of STI electronically-enhanced screening processes. Workflow observations were captured via TaskTracker, a time and motion electronic data collection application that allows researchers to categorize general work processes and record multitasking by providing a timestamp of when tasks began and ended. Workflow was captured during 118 patient visits across six PECARN EDs. The average time to initial assessment by the most senior provider was 76&nbsp;min (range 59-106&nbsp;min, SD = 43&nbsp;min). Care teams were consistent across sites, and included attending physicians, advanced practice providers, nurses, registration clerks, technicians, and students. A timeline belt comparison was performed. Across most sites, the most promising implementation of a STI screening tool was in the patient examination room following the initial patient assessment by the nurse.</p>

DOI

10.1007/s10916-020-01670-y

Alternate Title

J Med Syst

PMID

33174093

Title

Catalyzing Pediatric Electronic Health Record Usability and Safety Improvements.

Year of Publication

2020

Date Published

2020 12

ISSN Number

1098-4275

DOI

10.1542/peds.2020-030965

Alternate Title

Pediatrics

PMID

33139457

Title

Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings.

Year of Publication

2018

Number of Pages

1752-1759

Date Published

2018 11

ISSN Number

1544-5208

Abstract

<p>Pediatric populations are uniquely vulnerable to the usability and safety challenges of electronic health records (EHRs), particularly those related to medication, yet little is known about the specific issues contributing to hazards. To understand specific usability issues and medication errors in the care of children, we analyzed 9,000 patient safety reports, made in the period 2012-17, from three different health care institutions that were likely related to EHR use. Of the 9,000 reports, 3,243 (36&nbsp;percent) had a usability issue that contributed to the medication event, and 609 (18.8&nbsp;percent) of the 3,243 might have resulted in patient harm. The general pattern of usability challenges and medication errors were the same across the three sites. The most common usability challenges were associated with system feedback and the visual display. The most common medication error was improper dosing.</p>

DOI

10.1377/hlthaff.2018.0699

Alternate Title

Health Aff (Millwood)

PMID

30395517

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