(1231) Enhancing Workflow Adherence through Checklist Integration in the Electronic Medical Record

Introduction: The effective management of workflows in critical care training programs is essential for ensuring patient safety and optimal healthcare outcomes. In recent years, the integration of electronic medical record (EMR) systems, such as EPIC, has played a crucial role in enhancing adherence to workflows and improving patient care in various healthcare settings. This study examines the impact of utilizing checklists within the EPIC EMR system on workflow adherence in a critical care training program.

Methods: The study involved the implementation of a checklist within the EPIC EMR system, tailored to the unique workflows of the critical care fellows. The checklist smart-phrase incorporated the following: Patient board updated with ICU team contact info (BU), adding fellow’s name to patient’s team list (FN), ordering electrolyte replacement protocol (EP), updating EPIC handoff (EH), and in-person rounds with ICU RNs at end of the ICU shift (RN). A cohort of 14 critical care fellows participated in the program, and their adherence to workflows was evaluated before and after the checklist module implementation. Additionally, qualitative data, including fellows’ feedback and perceptions, were gathered through surveys and interviews.

Results: A total of 200 charts were analyzed before and 202 charts after. Compared to the Before group, the After group improved adherence to all workflows: BU from 77 % to 82 %, FN from 10 % to 40 %, EP from 49 % to 55 %, EH from 66 % to 75 %, and RN from 70 % to 78 %.

Conclusions: Quantitative analysis of the data revealed improvement in workflow adherence following the implementation of the checklist module within the EPIC EMR system. Fellows reported increased awareness of workflows, enhanced task prioritization, and improved communication among the care team. The checklist module facilitated the efficient completion of critical tasks and promoted a standardized approach to patient care. The checklists were regarded as valuable tools that served as visual reminders, guiding clinicians through complex workflows and ensuring comprehensive care.