Utilizing electronic medical records alert to improve documentation of neonatal acute kidney injury.
Background: Neonatal acute kidney injury (AKI) is a common yet underdiagnosed condition in neonates with significant implications for long-term kidney health. Lack of timely recognition and documentation of AKI contributes to missed opportunities for nephrology consultation and follow-up, potentiall...
| Publicado en: | Pediatric Nephrology Vol. 39; no. 8; pp. 2505 - 2515 |
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| Autores principales: | , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178064754&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178064754 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: Aug2024 vid: 39 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178064754 176172475 178064754 178064754 10.1007/s00467-024-06352-2 178064754 ppf: 2505 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Utilizing electronic medical records alert to improve documentation of neonatal acute kidney injury. aug: au: Nada, Arwa Bagwell, Amy affil: https://ror.org/0011qv509 Department of Pediatrics, Division of Pediatric Nephrology, The University of Tennessee Health Science Center (UTHSC), 50 N Dunlap St., 38105, Memphis, TN, USA sug: subj: Electronic Health Records Utilization Decision Support Systems, Clinical Quality Improvement Documentation Kidney Failure, Acute Diagnosis Nephrology Referral and Consultation Creatinine Blood Human Funding Source Physicians Psychosocial Factors Intensive Care Units, Neonatal Hospitals, Pediatric Tennessee Tennessee Automation Physician Engagement Workflow Infant, Newborn Infant, Newborn: birth-1 month ab: Background: Neonatal acute kidney injury (AKI) is a common yet underdiagnosed condition in neonates with significant implications for long-term kidney health. Lack of timely recognition and documentation of AKI contributes to missed opportunities for nephrology consultation and follow-up, potentially leading to adverse outcomes. Methods: We conducted a quality improvement (QI) project to address this by incorporating an automated real-time electronic medical record (EMR)-AKI alert system in the Neonatal Intensive Care Unit (NICU) at Le Bonheur Children's Hospital. Our primary objective was to improve documentation of neonatal AKI (defined as serum creatinine (SCr) > 1.5 mg/dL) by 25% compared to baseline levels. The secondary goal was to increase nephrology consultations and referrals to the neonatal nephrology clinic. We designed an EMR-AKI alert system to trigger for neonates with SCr > 1.5 mg/dL, automatically adding AKI diagnosis to the problem list. This prompted physicians to consult nephrology, refer neonates to the nephrology clinic, and consider medication adjustments. Results: Our results demonstrated a significant improvement in AKI documentation after implementing the EMR-AKI alert, reaching 100% compared with 7% at baseline (p < 0.001) for neonates with SCr > 1.5 mg/dL. Although the increase in nephrology consultations was not statistically significant (p = 0.5), there was a significant increase in referrals to neonatal nephrology clinics (p = 0.005). Conclusions: Integration of an EMR alert system with automated documentation offers an efficient and economical solution for improving neonatal AKI diagnosis and documentation. This approach enhances healthcare provider engagement, streamlines workflows, and supports QI. Widespread adoption of similar approaches can lead to improved patient outcomes and documentation accuracy in neonatal AKI care. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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