title: Transforming to a computerized system for nursing care: organizational success within Magnet idealism.
abstract: In reaching the goal for standardized, quality care, a not-for-profit healthcare system consisting of seven institutional entities is transforming nursing practice guidelines, patient care workflow, and patient documents into electronic, online, real-time modalities for use across departments and all healthcare delivery entities of the system. Organizational structure and a strategic plan were developed for the 2-year Clinical Transformation Project. The Siemens Patient Care Document System was adopted and adapted to the hospitals' documentation and information needs. Two fast-track sessions of more than 100 nurses and representatives from other health disciplines were held to standardize assessments, histories, care protocols, and interdisciplinary plans of care for the top 10 diagnostic regulatory groups. Education needs of the users were addressed. After the first year, a productive, functional system is evidenced. For example, the bar-coded Medication Administration Check System is in full use on the clinical units of one of the hospitals, and the other institutional entities are at substantial stages of implementation of Patient Care Documentation System. The project requires significant allocation of personnel and financial resources for a highly functional informatics system that will transform clinical care. The project exemplifies four of the Magnet ideals and serves as a model for others who may be deciding about launching a similar endeavor.
authors.affiliation: Center for Research and Grants, Baptist Health South Florida, Coral Gables, FL 33143, USA. CarolynL@baptisthealth.net
authors.forename: Carolyn L
authors.initials: CL
authors.lastname: Lindgren
authors.forename: Leslie G
authors.initials: LG
authors.lastname: Elie
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Vidal
authors.forename: Alex
authors.initials: A
authors.lastname: Vasserman
mesh_terms: D054976:Clinical Governance; D019091:Critical Pathways; D003659:Decision Making, Organizational; D003953:Diagnosis-Related Groups; D004059:Diffusion of Innovation; D004282:Documentation / Q000379:methods; D057286:Electronic Health Records / Q000458:organization & administration*; D005431:Florida; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D009096:Multi-Institutional Systems / Q000458:organization & administration; D024802:Nurse's Role; D048108:Nursing Informatics / Q000193:education / Q000458:organization & administration; D009737:Nursing Records; D010347:Patient Care Planning; D010348:Patient Care Team; D010687:Philosophy, Nursing; D019095:Point-of-Care Systems / Q000458:organization & administration*; D017410:Practice Guidelines as Topic