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Transitioning Hemodialysis to POE
The Problem
The Results
Paper-based order sets were used in the Inpatient Hemodialysis (HD) Unit. This manual
process lacked the same quality and safety “checks” of the hospital’s electronic
systems, and required Renal Fellows to be physically present in the HD Unit to write
orders. Additionally, Inpatient Services had limited insight into when treatment was
scheduled, and the medications that would be given in HD.
Decreased Variability
Hemodialysis Fellows and
Attendings now have a
standardized way to enter orders
anywhere on campus.
Aim / Goal
Successfully transition the Hemodialysis Unit from paper-based systems to the
hospital’s electronic provider order entry system (POE) to decrease variability, increase
transparency, and improve patient safety .
Increased Transparency
A “HD Orders” notification appears on
the Inpatient Floor Dashboard when
orders are written by Renal staff for
medications or interventions to be
administered during dialysis. Orders
are visible to all POE users, and
appear in light blue.
The Team
Mark Williams, MD; Barbara Carney, RN; Jean Hurley; Dave Mangan, PharmD; Steve
Maynard, PharmD; Ali Poyan Mehr,MD; Mihran Naljayan,MD; Sarah Moravick; MBA,
Mary Biagotti, RN; Julius Yang, MD; Jennifer Thomas, RN & Hemodialysis Nursing Staff
Improved Patient Safety
The Pharmacist who reviews the patient’s floor based orders also reviews the
patient’s Hemodialysis orders to enable awareness of all the medications the
patient is receiving.
The Interventions
A sanctioned
Hemodialysis
environment was
created within
POE where only
HD staff can
enter and
activate HD
orders, but
orders are visible
to all POE users.
The environment
went “live” in
June 2011.
“HD” appears on the Pharmacist's dashboard
when the patient is checked-in at HD so any
special medications are sent to the appropriate
location.
A Dialysis specific Medication
Administration Record (MAR) was
developed to ensure providers could
easily identify what was given in HD.
Next Steps
Continue to monitor implementation and develop proactive alerts to inform Renal Staff
when a dialysis patient is admitted to BIDMC.
For More Information Contact
Barbara Carney, RN, Nurse Manager
Venous Access Team & Dialysis; bcarney@bidmc.harvard.edu
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Sarah Moravick (<a href="mailto:bcarney@bidmc.harvard.edu">bcarney@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Health Care Quality
Inpatient Quality
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Mark Williams<br />Barbara Carney<br />Jean Hurley<br />Dave Mangan<br />Steve Maynard<br />Ali Poyan Mehr<br />Mihran Naljayan<br />Sarah Moravick<br />Mary Biagotti<br />Julius Yang<br />Jennifer Thomas<br />Hemodialysis Nursing Staff
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Transitioning Hemodialysis to POE
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
Format
The file format, physical medium, or dimensions of the resource
pdf
Efficiency
Safety