Creating systems that work

Preparing for the Future

“…Specifically, the SOP concentrated on potential documentation changes or updates to grouped areas such as emergency departments and inpatient and outpatient settings. 17 Over the next 6 months, their SOP emerged as a template for documentation analysts across the nation to start this vital conversation of their own. The SOP also served as an introductory template to the author's national study currently in progress.…”

“…Three major themes emerged from the literature review: EHR usability issues, cognitive burden with burnout, and overall documentation burden. [5][6][7][8][9][10][13][14][15][16][17][18][19][22][23][24][25][26][27] The review of literature started with our need to solve the overall issue, the burden of too many documentation requirements during a time of crisis. A high-level examination of the literature was conducted with Google Scholar, PubMed, and CINHAL Complete.…”

Crisis Documentation Strategies to Reduce Burden of Documentation During the Pandemic: Texas' Pilot to Generate Consensus

“…4,12 A common theme identified throughout the emerging challenges was the need to address documentation burden in the time of crisis. 7,8,[13][14][15][16][17] Various academic centers, healthcare systems, and regulatory agencies joined the discussion. The group's objective was to identify the minimum documentation requirements of nursing staff to adhere to regulatory requirements and continue with excellent patient care.…”

“…The goal of the joint effort was to identify and disseminate resources that nursing leadership and the informatics community could share to address the COVID19 pandemic 4,12 . A common theme identified throughout the emerging challenges was the need to address documentation burden in the time of crisis 7,8,13–17 …”

“…The TNA-TONL committee, founded jointly in 2010, queried the informatics nursing leadership community to determine what the HIT committee members could do to help hospitals prepare for potential COVID-19 surge. The community of informatics leaders in Texas had identified the standard operating procedure (SOP) for crisis documentation developed by Sengstack and Hughart 7 as a draft for Vanderbilt University Medical Center. Recognizing the potential for large volume and high-acuity patients with COVID-19 likely to impact Texas hospital bed capacity, they requested an initiative to identify consensus about how nursing documentation burden could be reduced.…”