Question

EBP CASE STUDY You are consulting with the education and practice develop- documen ment team in a large tertiary care hospital serving a region exception using subjective, objective, assessment, and plan comprising mostly rural communities. The team is responsi (SOAP) and the hospital has made extensive use of checklists ble for strengthening the implementation of EBP based on to complement the documentation system tation for narrative notes is documentation by outcomes. Over the next 2 years, it must set performance objectives to (1) strengthen screening for pain, depression, Discussion Questions and adverse health behaviors (smoking, excess alcohol intake, 1. Using clinical guidelines and standards of care, identify and body mass index [BMI) greater than 30) at intake for all adult admissions; (2) implement comprehensive geriatric assessment for all those over age 65 hospitalized for more than what data elements should be included in the EHR assess ment and evaluation screens if these goals are to be achieved 7 days or readmitted within less than 3 days following dis- 2. Identify how information system defaults and alerts could 3. Once screening has been improved, what are the next steps urs through educational venues or via 4. How could the electronic health record be designed to sup- charge; and (3) promote care-team performance. be used to achieve these goals. in improving patient outcomes? port these outcome-related goals? The hospital has 200 adult admissions each week and has implemented an electronic health record. Guideline dissemi- the electronic policy and procedure manual. The method of

Answer 1

1.To achieve the goals not just the patient complaints and the treatment to be included in the EHR is not enough must include the complete data of the patient such as patient identification data,past history,personal history( here will get about diet,habits,bad habits and his sleeping pattern) and get into the present data of the client.

2.Alerts can given to the same client getting readmitted.Or the in the assessment scales not get improved after treated for the prescribed time.For example a client admitted for complaints of chest pain but even after treating the client his pain level not get reduced it indicates the error in assessment,diagosis or in treatment strategy.

3.After screening the correct diagnosis should be made and make patient involve in treatment strategy this will improve the client outcome.

4.The electronic health record along with the client data it must include the treatment protocols monitor and the some assessment scale such as pain scale,Braden scale thus by getting this score daily from the EHR it is easy to track the client outcome.