Health Technologies:

CAPREE™: Epic-Native Compliance Automation That Prevents Hospital-Acquired Harm

Laura Duran, DNP, RN-BC, CNRN

• William P. Clements University Hospital (UT Southwestern Medical Center)

Hospitals lose money and harm patients when basic bedside practices (like turning) are not done and documented reliably, yet manual audits are slow and miss probleM.S. until it is too late. CAPREE (“Consistently Audit, Persistently Remind, Educate, Engage”) is an evidence-based framework plus an Epic-integrated dashboard that continuously audits documentation at scale, delivers scorecards, and triggers reminders when compliance drops. In UTSW unit deployments, CAPREE audited ~5,000–18,000 documentation entries per month and was associated with statistically significant improvements in turning rates (paired t-test p = 0.0104; mean difference 163.8%). CAPREE has been piloted across eight units with additional units starting, and a system-wide rollout for turning was approved (June 2025), with reported reductions in hospital-acquired pressure ulcers. The platform expands beyond turning (for example, ambulation, CAUTI prevention interventions, hygiene, sitter documentation), creating a repeatable, sellable compliance layer for nursing leaders across hospital systeM.S..