Literature DB >> 31365940

Quality Initiative Using Theory of Change and Visual Analytics to Improve Controlled Substance Documentation Discrepancies in the Operating Room.

Jenny E Dolan1, Hannah Lonsdale1, Luis M Ahumada2, Amish Patel1, Jibin Samuel1, Ali Jalali2, Jacquelin Peck3, JoAnn C DeRosa4, Mohamed Rehman1, Anna M Varughese1, Allison M Fernandez1.   

Abstract

BACKGROUND: Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-standing pediatric hospital.
METHODS: Visual analytics were applied to collected documentation discrepancy audit data and were used to track progress of the project, to motivate the OR team, and in analyzing where further improvements could be made. This was part of a seven-step improvement plan based on the Theory of Change with a logic model framework approach.
RESULTS: The introduction of the visual analytics dashboard contributed a 24% improvement in controlled substance documentation discrepancy. The project overall reduced documentation errors by 71% over the studied period.
CONCLUSION: We used visual analytics to simultaneously analyze, monitor, and interpret vast amounts of data and present them in an appealing format. In conjunction with quality-improvement principles, this led to a significant improvement in controlled substance documentation discrepancies. Georg Thieme Verlag KG Stuttgart · New York.

Mesh:

Substances:

Year:  2019        PMID: 31365940      PMCID: PMC6669039          DOI: 10.1055/s-0039-1693688

Source DB:  PubMed          Journal:  Appl Clin Inform        ISSN: 1869-0327            Impact factor:   2.342


  15 in total

1.  Development of a computerized monitoring program to identify narcotic diversion in a pediatric anesthesia practice.

Authors:  B Randall Brenn; Margaret A Kim; Elora Hilmas
Journal:  Am J Health Syst Pharm       Date:  2015-08-15       Impact factor: 2.637

2.  Discrepancies in medication entries between anesthetic and pharmacy records using electronic databases.

Authors:  Michael M Vigoda; Frank J Gencorelli; David A Lubarsky
Journal:  Anesth Analg       Date:  2007-10       Impact factor: 5.108

3.  Substance use among nurses: differences between specialties.

Authors:  A M Trinkoff; C L Storr
Journal:  Am J Public Health       Date:  1998-04       Impact factor: 9.308

4.  Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Controlled Drugs.

Authors:  Richard H Epstein; Franklin Dexter; David M Gratch; David A Lubarsky
Journal:  Jt Comm J Qual Patient Saf       Date:  2017-06-20

5.  The Development of Heuristics for Evaluation of Dashboard Visualizations.

Authors:  Dawn Dowding; Jacqueline A Merrill
Journal:  Appl Clin Inform       Date:  2018-07-11       Impact factor: 2.342

6.  The Prevalence and Determinants of Controlled Substance Discrepancies in a Level I Trauma Hospital.

Authors:  Chukwuma Anyanwu; Oliver Egwim
Journal:  Am Health Drug Benefits       Date:  2016-05

7.  Design and Implementation of a Visual Analytics Electronic Antibiogram within an Electronic Health Record System at a Tertiary Pediatric Hospital.

Authors:  Allan F Simpao; Luis M Ahumada; Beatriz Larru Martinez; Ana M Cardenas; Talene A Metjian; Kaede V Sullivan; Jorge A Gálvez; Bimal R Desai; Mohamed A Rehman; Jeffrey S Gerber
Journal:  Appl Clin Inform       Date:  2018-01-17       Impact factor: 2.342

8.  Evaluation of Multimedia Medication Reconciliation Software: A Randomized Controlled, Single-Blind Trial to Measure Diagnostic Accuracy for Discrepancy Detection.

Authors:  Blake J Lesselroth; Kathleen Adams; Victoria L Church; Stephanie Tallett; Yelizaveta Russ; Jack Wiedrick; Christopher Forsberg; David A Dorr
Journal:  Appl Clin Inform       Date:  2018-05-02       Impact factor: 2.342

Review 9.  Using theory of change to design and evaluate public health interventions: a systematic review.

Authors:  Erica Breuer; Lucy Lee; Mary De Silva; Crick Lund
Journal:  Implement Sci       Date:  2016-05-06       Impact factor: 7.327

Review 10.  The problem with Plan-Do-Study-Act cycles.

Authors:  Julie E Reed; Alan J Card
Journal:  BMJ Qual Saf       Date:  2015-12-23       Impact factor: 7.035

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  5 in total

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Authors:  Oliver T Nguyen; Young-Rock Hong; Amir Alishahi Tabriz; Karim Hanna; Kea Turner
Journal:  Appl Clin Inform       Date:  2022-02-23       Impact factor: 2.342

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3.  Visualizing Opioid-Use Variation in a Pediatric Perioperative Dashboard.

Authors:  Conrad W Safranek; Lauren Feitzinger; Alice Kate Cummings Joyner; Nicole Woo; Virgil Smith; Elizabeth De Souza; Christos Vasilakis; Thomas Anthony Anderson; James Fehr; Andrew Y Shin; David Scheinker; Ellen Wang; James Xie
Journal:  Appl Clin Inform       Date:  2022-03-23       Impact factor: 2.342

4.  Development, implementation and preliminary evaluation of clinical dashboards in a department of anesthesia.

Authors:  Géry Laurent; Mouhamed D Moussa; Cédric Cirenei; Benoît Tavernier; Romaric Marcilly; Antoine Lamer
Journal:  J Clin Monit Comput       Date:  2020-05-16       Impact factor: 2.502

5.  Usability Testing a Potentially Inappropriate Medication Dashboard: A Core Component of the Dashboard Development Process.

Authors:  Regina Richter Lagha; Zachary Burningham; Brian C Sauer; Jianwei Leng; Celena Peters; Tina Huynh; Shardool Patel; Ahmad S Halwani; B Josea Kramer
Journal:  Appl Clin Inform       Date:  2020-08-12       Impact factor: 2.342

  5 in total

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