FEATURESCompetency Assessment in Simulation of Electronic Health Records Tool DevelopmentMcBride, Susan PhD, RN-BC, CPHIMS, FAAN; Thomas, Laura PhD, RN, CNE; Decker, Sharon PhD, RN, FSSH, ANE, FAANAuthor Information Author Affiliations: School of Nursing (Drs McBride and Thomas) and Simulation Program (Dr Decker), Texas Tech University Health Sciences Center, Lubbock. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author:Susan McBride, PhD, RN-BC, CPHIMS, FAAN, Texas Tech University Health Sciences Center School of Nursing, 3601 4th Street STOP 6264, Lubbock, TX 79430 (Susan.Mcbride@ttuhsc.edu). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.cinjournal.com). CIN: Computers, Informatics, Nursing: May 2020 - Volume 38 - Issue 5 - p 232-239 doi: 10.1097/CIN.0000000000000630 Buy SDC Metrics Abstract Rapid deployment of electronic health records has resulted in a need for simulation centers to integrate the use of electronic health records into simulation-based learning activities within the clinical workflow. To assess the quality of the documentation in the electronic health record, the Competency Assessment in Simulation of Electronic Health Records Tool was developed. Lynn's method of content validity, combined with nominal group and Delphi techniques, was used to identify 15 domains of best practice in documentation. Participants with expertise in academic education, simulation, and informatics provided input into the development of the tool. The tool evolved over three rounds of Delphi that refined the language and provided anchors to promote accurate assessment of student and nurse documentation. The results of the Delphi narrowed the 15 domains down to 10 domains for scoring best practices in electronic documentation within simulation-based learning activities. The Competency Assessment in Simulation of Electronic Health Records Tool was developed to address the electronic health record competencies of both nursing students and practicing nurses in a simulation environment. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.