Implementation of a Nurse-Driven Medication Ordering Protocol to Improve Clinician and Nursing Experiences

Claire C. Ford, James B. Clements, Jacob T. Luty, Jackie K. Sharpe, Brittney N. Caldera, Alan J. Hunter

Research output: Contribution to journalArticlepeer-review


Paging and text messaging to request new orders remain common means of communication between clinicians and nurses in the hospital setting. However, sending and triaging multiple pages can lead to interruptions in other clinical duties. A medication order delegation protocol allowing for nurse-driven ordering of low-risk medications was developed with an objective of decreasing potentially avoidable pages. The aim of this study was to evaluate the impact of implementing this protocol on nurse and clinician perceptions of clerical burden and satisfaction. A survey assessing satisfaction with the process of obtaining medications in this protocol and the perception of clerical burden associated with ordering them before and after delegation protocol implementation was completed by over 160 clinicians and nurses. Survey respondents reported increased satisfaction and decreased clerical burden associated with the implementation of the delegation protocol. These results suggest the potential for delegation protocols to limit clerical burden associated with paging.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalJournal for Healthcare Quality
Issue number1
StatePublished - Jan 1 2023


  • burnout
  • clerical burden
  • delegation protocol
  • paging

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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