Abstract: SA-PO0991
Improving Compliance with Physician-Led Patient Education Documentation in the Nephrology Inpatient Ward at Dubai Hospital: A Quality Improvement Initiative
Session Information
- Educational Research
October 24, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Educational Research
- 1000 Educational Research
Authors
- Abdallh, Amjed Mohammed osman, Dubai Hospital, Dubai, United Arab Emirates
- Soliman, Malaz Noralla, Dubai Hospital, Dubai, United Arab Emirates
- Siddege, Waleed, Dubai Hospital, Dubai, United Arab Emirates
- Askarinejad, Sima Abdollah, Dubai Hospital, Dubai, United Arab Emirates
- Alnour, Hind Hassan, Dubai Hospital, Dubai, United Arab Emirates
- Gulzar, Kashif, Dubai Hospital, Dubai, United Arab Emirates
- Alhadari, Amna Khalifa, Dubai Hospital, Dubai, United Arab Emirates
Background
Patient education is critical for high-quality nephrology care, yet documentation is often inconsistent. At Dubai Hospital, baseline analysis of 1,587 nephrology inpatient records (Jan-Dec 2024) revealed only 15.9% ,n=253 of patients had documented educational needs assessments,representing 1,334 missed opportunities and falling short of the 100% Joint Commission International standard.Root cause analysis identified lack of provider awareness, complex electronic health record (EHR) navigation, high patient volume, and insufficient training as primary barriers. This QI project aimed to increase the physician-led patient education documentation rate from 15.9% to at least 50% within six months.
Methods
A multidisciplinary team used the FOCUS-PDSA model to implement three targeted interventions: provider education with step-by-step SALAMA workflow training and tip sheets; workflow integration using visual checklists during daily rounds; and performance feedback through real-time dashboards and individual provider reports. The intervention was piloted and rolled out across the ward. Monthly audits tracked documentation completeness and guided continuous feedback.
Results
Following implementation, the overall documentation rate improved significantly. Between May and October 2025, out of 631 total nephrology inpatients, 317 had their education documented, resulting in an overall rate of 50.24%. The project successfully met its primary objective, achieving a peak documentation rate of 63.9% in September 2025. Performance was sustained above the 50% target for four consecutive months. The interventions demonstrated that structured education, workflow optimization, and regular performance feedback effectively overcome barriers to clinical documentation.
Conclusion
this QI initiative successfully increased physician-led patient education documentation in a nephrology inpatient ward at Dubai Hospital from 15.9% to over 50%. Integrating EHR workflow training, visual reminders, and performance dashboards proved highly effective in changing provider behavior. Sustaining these gains requires ongoing monitoring, continuous staff education, and potential integration of advanced technology enhancements, such as smart EHR pop-ups and mobile documentation tools, to further embed patient education into the core culture of quality nephrology care.