Clinical nurse specialist leadership in computerized provider order entry design.
OBJECTIVE
The purpose of this clinical project was to design and implement a computerized provider order entry system.


BACKGROUND
Well-designed clinical computer systems can advance best practice and quality decision making, leading to improvements in patient and organizational outcomes.


METHODS
An Orders Design Group composed of clinical nurse specialists (CNSs), staff nurses, and information management personnel was formed. CNSs used competencies in the system sphere to lead the integration of the needs of patients, nurses, and organizations into new technologies.


RESULTS
CNSs facilitated implementation of a collaboratively designed interdisciplinary computerized order entry process.


CONCLUSIONS
Evaluation of the design and implementation process demonstrated greater success with the order entry system under the leadership of CNSs than past initiatives where CNSs were not in leadership roles.


CONCLUSIONS
CNS competencies in designing and implementing innovative system-level solutions are key to clinical information systems design.
Roggow
Darla J
DJ
University of Minnesota Medical Center, Fairview, Minneapolis, Minn 55455, USA. droggow1@fairview.org
Solie
Carol J
CJ
Tracy
Mary Fran
MF
Gjere
Niki
N
D019985:Benchmarking; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D005568:Forms and Records Control; D017408:Guidelines as Topic; D006751:Hospital Information Systems / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D016347:Medical Records Systems, Computerized / Q000592:standards*; D008910:Minnesota; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D010348:Patient Care Team / Q000458:organization & administration; D011361:Professional Competence; D011367:Professional Staff Committees / Q000458:organization & administration*; D017749:Total Quality Management