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Affiliations

Atrium Health WFB Ambulatory

Presentation Notes

Professional Development poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.

Abstract

Introduction and Context

Effective computerized provider order entry (CPOE) and orders communication are critical to safe, efficient care in ambulatory settings. Following an electronic health record (EHR) merger at Advocate Health, inconsistencies and knowledge gaps were identified, posing risks to patient safety and team workflows. This innovation addresses those gaps by redesigning training to support consistent, technology-enabled care delivery.

Implementation Strategy

Using cognitive learning theory and direct instruction, existing CPOE training modules were revised to enhance clarity, relevance, and retention. Content was aligned with nursing workflows and integrated into Advocate Health’s online learning platform for system-wide accessibility. Real-world scenarios and interprofessional considerations were incorporated to promote practical application and standardization.

Outcomes and Impact

Pre- and post-assessments measured knowledge gains and confidence in order entry processes. Preliminary results show improved comprehension, fewer workflow errors, and greater consistency across teams. These outcomes contribute to safer patient care and reduced variability in practice.

Insights

The project underscores the value of structured, theory-based education in supporting clinical excellence. Feedback indicates increased engagement, reduced training-related confusion, and better alignment with frontline needs—especially for nursing and care coordination roles.

Implications

This scalable innovation offers a sustainable model for improving technology-driven processes through targeted education. As Advocate Health continues to integrate systems and redesign care, the approach demonstrates how nursing-led initiatives can enhance patient safety, optimize workflows, and drive organizational improvement.

Document Type

Poster

Publication Date

11-12-2025


 

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Nov 12th, 12:00 AM

Revising, Testing, and Evaluating Current Training Modules with Direct Instruction to Enhance Ambulatory Orders Communication

Introduction and Context

Effective computerized provider order entry (CPOE) and orders communication are critical to safe, efficient care in ambulatory settings. Following an electronic health record (EHR) merger at Advocate Health, inconsistencies and knowledge gaps were identified, posing risks to patient safety and team workflows. This innovation addresses those gaps by redesigning training to support consistent, technology-enabled care delivery.

Implementation Strategy

Using cognitive learning theory and direct instruction, existing CPOE training modules were revised to enhance clarity, relevance, and retention. Content was aligned with nursing workflows and integrated into Advocate Health’s online learning platform for system-wide accessibility. Real-world scenarios and interprofessional considerations were incorporated to promote practical application and standardization.

Outcomes and Impact

Pre- and post-assessments measured knowledge gains and confidence in order entry processes. Preliminary results show improved comprehension, fewer workflow errors, and greater consistency across teams. These outcomes contribute to safer patient care and reduced variability in practice.

Insights

The project underscores the value of structured, theory-based education in supporting clinical excellence. Feedback indicates increased engagement, reduced training-related confusion, and better alignment with frontline needs—especially for nursing and care coordination roles.

Implications

This scalable innovation offers a sustainable model for improving technology-driven processes through targeted education. As Advocate Health continues to integrate systems and redesign care, the approach demonstrates how nursing-led initiatives can enhance patient safety, optimize workflows, and drive organizational improvement.

 

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