Date of Award

2023

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Patrick Murphy

Readers

Naomi Whitaker

Abstract

Technology is rapidly changing the way that clinicians provide care to patients. The use of smart phrases in electronic health records (EHRs) has been shown to improve efficiency amongst clinicians and provide easy access to large amounts of information for clinical decision-making. One area of medicine where treatment algorithms are particularly complex and there has been recent landmark changes to treatment algorithms, is asthma. The 2019 Global Institute for Asthma (GINA) guidelines changed the standard of care for asthma, and the principal investigator (PI) sustained a strong interest in whether the guidelines had been implemented into clinical EHRs effectively. A needs assessment was conducted with clinicians at the clinical site which revealed that there were few useful and current asthma smart phrases existing in the EHR. This technological quality improvement project was created to bridge the gap from science to practice. Based on direct stakeholder feedback, three smart phrases were created, and one existing smart phrase edited, using the Global Institute for Asthma 2022 guidelines. The smart phrases were distributed for review by all clinicians at at the clinical site. After several revisions, the final suite of smart phrases was presented to all stakeholders in a staff meeting. An anonymous survey was employed to measure the efficacy of the intervention, with 100% of participants expressing increased satisfaction with the new asthma smart phrases than with the existing asthma smart phrases.

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