Compliance Is Contagious: Using Informatics Methods to Measure the Spread of a Documentation Standard From a Preoperative Clinic.
Hagaman, Daniel H. BS; Ehrenfeld, Jesse M. MD, MPH; Terekhov, Maxim MS; Kla, Koffi M. MD; Hamm, Julie MSN, ACNP-BC; Brumley, Miriam FNP-BC; Wanderer, Jonathan P. MD, MPhil *
[Article] Journal of PeriAnesthesia Nursing. 33(4):436-443, August 2018.

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Purpose: Preoperative documentation is essential to coordinated care and has the potential for standardization, which may facilitate downstream clinical management.

Design: An observational pre/post standardization design was used.

Methods: We analyzed the implementation of a preoperative documentation standardization intervention in Vanderbilt's Preoperative Evaluation Clinic (VPEC) and its impact outside VPEC. A phased intervention consisted of clinician education with monthly feedback, followed by the development of a compliance dashboard and inclusion in Ongoing Professional Performance Evaluation system by VPEC. A follow-up survey was administered to measure the impact on clinical management.

Findings: Adherence to standardization was improved with the addition of electronic feedback. Implementation of this system in the preoperative clinic had significant impact outside VPEC. Trainee status was a significant predictor of adoption of the standardized format.

Conclusions: Adoption of a preoperative documentation standard in a clinic had a positive impact on standardization practices in a perioperative system.

(C) 2018Elsevier, Inc.