2.50
Hdl Handle:
http://hdl.handle.net/10755/160127
Type:
Presentation
Title:
Expert Nursing Rules Support Clinical Practice Decisions
Abstract:
Expert Nursing Rules Support Clinical Practice Decisions
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Brokel, Jane, PhD, RN
P.I. Institution Name:Trinity Health
Title:Director
Contact Address:Clinical Operations Improvement, 176 Pleasant Manor Drive, Waterford, MI, 48327, USA
Contact Telephone:248-489-6847
The application of clinical expert rules in the electronic health record increases efficiencies and opportunities for registered nurses to deliver care. The expert rules were designed to automate evidence-based practice following the admission interview and ongoing assessments of patients. The assessments on immunization status led to CDC recommendations in administering immunizations. The admission evoked the steps to initiate patient education and assessments to benefit at-risk patients and to ensure appropriate monitoring or care. The workflow processes to select, design, build, activate and evaluate rules is illustrated for a health care system of 29 organizations. Six organizations identified an interdisciplinary team to select nursing rules that help their organizations provide evidence-based care based on nursing assessments and screenings. An evaluation process was used to analyze the performance of clinical rules. The rules demanded early evaluation in one to three months to determine the efficiency and effectiveness in meeting the intent. Rapid implementation of immunization rules has led to increased opportunity for pneumococcal immunization. Findings indicate expert clinical rules provide value. In conclusion, clinical expert rules achieved efficiencies in a rigorous evaluation and change control process. Twenty-seven rules are now used system-wide, 15 rules are highly recommended and 20 rules are optional for use to support nursing practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleExpert Nursing Rules Support Clinical Practice Decisionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160127-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Expert Nursing Rules Support Clinical Practice Decisions</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brokel, Jane, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Trinity Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Clinical Operations Improvement, 176 Pleasant Manor Drive, Waterford, MI, 48327, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">248-489-6847</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jbroke101@comcast.net</td></tr><tr><td colspan="2" class="item-abstract">The application of clinical expert rules in the electronic health record increases efficiencies and opportunities for registered nurses to deliver care. The expert rules were designed to automate evidence-based practice following the admission interview and ongoing assessments of patients. The assessments on immunization status led to CDC recommendations in administering immunizations. The admission evoked the steps to initiate patient education and assessments to benefit at-risk patients and to ensure appropriate monitoring or care. The workflow processes to select, design, build, activate and evaluate rules is illustrated for a health care system of 29 organizations. Six organizations identified an interdisciplinary team to select nursing rules that help their organizations provide evidence-based care based on nursing assessments and screenings. An evaluation process was used to analyze the performance of clinical rules. The rules demanded early evaluation in one to three months to determine the efficiency and effectiveness in meeting the intent. Rapid implementation of immunization rules has led to increased opportunity for pneumococcal immunization. Findings indicate expert clinical rules provide value. In conclusion, clinical expert rules achieved efficiencies in a rigorous evaluation and change control process. Twenty-seven rules are now used system-wide, 15 rules are highly recommended and 20 rules are optional for use to support nursing practice.</td></tr></table>en_GB
dc.date.available2011-10-26T22:39:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:39:05Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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