Embedding Policy and Procedure Hyperlinks Into the Electronic Health Record to Improve Practice, Usability, and Reduce the Risk of Litigation

Purpose: The purpose of this study was to evaluate the effects of implementing clinical decision support (embedded organizational policy and procedure hyperlinks) within intuitive areas of an electronic health record used by nurses. Design: An interrupted time series design was used in this study. Methods: Performance testing to determine usability was conducted prior to and following the implementation of two embedded policy and procedure hyperlinks. Findings: Improvement in all three components of usability (efficiency, effectiveness, and satisfaction) was found following the implementation of the hyperlinks. Nurses were not able to recall critical elements of the policy and procedures. Conclusions: Nurses did not have satisfactory memory recall for policy and procedures and needed access to ensure compliance. Embedding policy and procedure hyperlinks into the electronic health record improved access and usability. (C) 2022 Published by Elsevier Inc. on behalf of American Society of PeriAnesthesia Nurses.