Charting Software System Accuracy

Summary

Impact Statement: 
Charting errors increased in Scott County Health Department's (SCHD's) STD clinic when a new electronic database was introduced. Anticipating the transition to the new database, the STD team implemented a QI effort to identify and correct problems with the charting process before they became habitual. As a result, the error rate fell from between 12% and 36% each week during the first 2 months of using the new software, to an average of 8.3% each week in the month after implementing the new process.
Summary: 

SCHD began using an electronic database, Practice Fusion, in its STD clinic in February 2017. Staff were trained for multiple weeks before going live with the new program. Staff anticipated bumps in the road when implementing the new software system, so the operating procedures initially included having the STD team leader review all STD client charts before submitting them to the SCHD medical director for review and approval. Upon implementing the new STD charting software system, charting errors increased. Early in the implementation phase of the new software, a QI project was undertaken to standardize documentation within the Practice Fusion STD program software and to minimize charting errors before they became the norm.

Organization that conducted the QI initiative: 
SCHD
Citation: 

Barnes, B. Public Health Quality Improvement Exchange. Charting Software System Accuracy. Mon, 01/15/2018 - 23:04. Available at https://www.phqix.org/content/charting-software-system-accuracy. Accessed December 6, 2019.

Submission Status: 
Completed
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