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- W2512306290 abstract "There are few electronic resource documents available for Blood and Marrow Transplantation (BMT) treatment roadmaps and BMT eligibility clearance in the electronic medical records (EMR). These types of documents are critical in order to deliver a high quality comprehensive care. Evidence-based practice has demonstrated that roadmaps and checklists are crucial documents to guide the treatment team through the complex phases of BMT (pre-transplant assessment, preparative regimen, inpatient stay for transplant, discharge, outpatient management and survivorship). The purpose was to design EMR documents (BMT Treatment Roadmaps/BMT Clearance Checklist) to help resolve issues with missing or duplicating studies, inconsistency in care, inaccessibility of the treatment plan, and lack of documentation for transplant eligibility clearance. A performance improvement project was implemented and a multidisciplinary approach was used for creating these electronic documents. A BMT eligibility checklist was developed in the EMR containing all pre-transplant requirements for final clearance. All eligibility criteria were reviewed by the attending physician on the BMT Checklist and electronically signed with their approval. A living document, the BMT roadmap, was developed for each specific transplant regimen, which was personalized for each patient and signed by the attending physician electronically for their approval, and incorporated into EMR snapshot where it could be the first visual record to be reviewed upon opening the patients' EMR chart. The transplant orders were verified against the signed roadmap for consistency and the roadmaps were used as a guide throughout the transplant process on each visit. The multidisciplinary BMT team received education on how to review and utilize both documents. The findings showed the BMT electronic checklist decreased the near-misses during the pre-transplant evaluation, and provided the necessary supporting documentation for transplant eligibility clearance. The BMT Roadmaps improved the communication and continuity of care by guiding the team on the appropriate studies needed at each visit. BMT patients verbalized greater satisfaction with their care. Overall, the error rates were decreased. Quality and continuity of care was improved throughout the transplant phases after the BMT treatment roadmaps and BMT checklists were implemented into our program.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
- W2512306290 created "2016-09-16" @default.
- W2512306290 creator A5087713608 @default.
- W2512306290 date "2016-03-01" @default.
- W2512306290 modified "2023-09-25" @default.
- W2512306290 title "Utilization of BMT Treatment Roadmaps & Checklists: Improving Continuity of Care" @default.
- W2512306290 doi "https://doi.org/10.1016/j.bbmt.2015.11.419" @default.
- W2512306290 hasPublicationYear "2016" @default.
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