Date of Project Completion

Fall 11-14-2022

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Ann Loth

Location

Rochester, MN

Abstract

In the local department, pre-pilot dialysis adequacy data was housed in a spreadsheet with manually entered, month-old data, inaccessible to clinic staff. The inoperability of the local QAPI workbook and EHR as well as data inaccessibility to staff resulted in missed opportunities to measure Kt/V. Based on the synthesis of evidence, dashboards have been utilized in a variety of interdisciplinary clinical settings with positive outcomes in addressing patient care gaps. The purpose of this pilot was to implement the Epic Dashboard that displays automated, real-time quality metric data to reduce missed opportunities to measure Kt/V in the outpatient HD setting. To evaluate dashboard efficacy, the proportion of missed opportunities to measure Kt/V three months pre-implementation was compared to the proportion of missed opportunities three months post-implementation; results did not show a statistically significant difference in missed opportunities to measure Kt/V. Counterbalance surveys to assess perceived impact by local staff yielded themes of sufficient education, dashboard ease of use, and enhanced ability to impact patient outcomes. The results of this QI pilot demonstrated the need for further research to better understand the development, utilization, and associated benefits of data dashboard integration in the clinical setting.

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