School of Medicine and Health Sciences Poster Presentations

Title

Use of Macros for Improvement of Speed and Quality: Ensuring Accurate and Timely Patient Documentation

Poster Number

290

Document Type

Poster

Publication Date

3-2016

Abstract

This study hopes to increase the speed and quality of resident documentation at GW Hospital by expanding the use of macros at George Washington University Hospital’s general cardiology service.

The project will focus on medical residents who are rotating on the Gold Team service (general cardiology service). A baseline survey was recently administered to query residents regarding time spent on writing comprehensive discharge instruction sheets for patients, self-assessed quality of discharge instructions written, and baseline use of macros templates. Macros templates for discharge instructions for the most common Gold Team diagnoses (heart failure exacerbation, non-cardiac chest pain, myocardial infarction, and syncope) will be composed by the study investigators under guidance and approval from cardiology attendings.

The principle investigators will also compare discharge instructions before and after the intervention by randomly selecting 4 discharges per each of 8 Gold Team residents at baseline, and 4 discharges per each of 8 Gold Team residents during the intervention period. The instructions will be graded using a standard discharge grading form that is currently used in the Department of Medicine discharge clinic for rotating residents and has been validated in the literature. Each discharge instruction sheet will be graded by both investigators, and discrepancies will be resolved by discussion to consensus.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Open Access

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Presented at: GW Research Days 2016

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Use of Macros for Improvement of Speed and Quality: Ensuring Accurate and Timely Patient Documentation

This study hopes to increase the speed and quality of resident documentation at GW Hospital by expanding the use of macros at George Washington University Hospital’s general cardiology service.

The project will focus on medical residents who are rotating on the Gold Team service (general cardiology service). A baseline survey was recently administered to query residents regarding time spent on writing comprehensive discharge instruction sheets for patients, self-assessed quality of discharge instructions written, and baseline use of macros templates. Macros templates for discharge instructions for the most common Gold Team diagnoses (heart failure exacerbation, non-cardiac chest pain, myocardial infarction, and syncope) will be composed by the study investigators under guidance and approval from cardiology attendings.

The principle investigators will also compare discharge instructions before and after the intervention by randomly selecting 4 discharges per each of 8 Gold Team residents at baseline, and 4 discharges per each of 8 Gold Team residents during the intervention period. The instructions will be graded using a standard discharge grading form that is currently used in the Department of Medicine discharge clinic for rotating residents and has been validated in the literature. Each discharge instruction sheet will be graded by both investigators, and discrepancies will be resolved by discussion to consensus.