Developing and Evaluating Competencies in Best Practices in the Use of Electronic Health Records in Simulation

Abstract :

Background: Electronic Health Records (EHRs) are complex systems that require training for clinicians to use them effectively within the clinical workflow. Simulation centers have integrated EHRs into simulation activities to teach students documentation skills, but there is a lack of objective methods to assess these competencies.

Purpose: The authors present an innovative approach to implementing EHRs in simulation and use the Competency Assessment in Simulation of EHRs (CASE) tool to evaluate best practices in EHR use within simulation.

Methods: The authors used Nominal Group Technique and Delphi Technique to identify ten domains of best practice and conducted a national study to test the reliability and validity of the CASE tool.

Results: The study reduced fourteen domains of best practice to ten domains and determined optimal evaluation strategies. The study also established the reliability and validity of the CASE tool as an objective method of evaluating students’ electronic documentation in the simulation environment.

Conclusion: The workshop will cover the ten domains of best practices for EHR use and the adoption and implementation of different types of EHRs, including academic and vendor solutions. The workshop will also provide case studies and hands-on exercises to demonstrate integrating EHRs into simulation-based activities using a sepsis case study. Techniques to develop nursing curriculum with scaffolding for developing informatics competencies will suggest when and how to integrate content into the curriculum coupled with simulation-based experiences. INASCL Standards will include simulation design, facilitation, outcomes and objectives, evaluation of learning and performance, and simulation-enhanced-IPE, formative, and summative assessment/evaluation.