13.00
Hdl Handle:
http://hdl.handle.net/10755/182408
Category:
Abstract
Type:
Presentation
Title:
Using an Evidence-based Clinical Information System to Enhance Communication and Patient Outcomes
Author(s):
Boston, Gail
Author Details:
Gail Boston, MSN, RN-BC, CCRN, Nebraska Methodist Hospital, Omaha, Nebraska, USA, email: gail.boston@nmhs.org
Abstract:
The use of standardized nursing language as part of an evidence-based method for care planning and documentation provides quantification of nursing interventions designed to move the patient to desired outcomes. The patient benefits from the problem-focused comprehensive plan as a result of shared outcomes and enhanced communication between disciplines. After an intense review of evidence-based classification systems, this hospital decided to convert an internally produced problem-based care plan to an automated evidence-based framework. Staff nurse members of the Clinical Informatics Council have been valuable contributors to the content and format of the documentation and care planning from its inception. The use of the new electronic care plan has assisted in individualizing patient care, enhancing communication between disciplines and tracking and achieving patient outcomes. Examples include the implementation of a Situation Background Assessment Recommendation (SBAR) tab for hand-off communication, and using the care plan to evaluate quality core measures in the heart failure patient by electronic extraction of data. This system of care planning and documentation has allowed us to participate in a multi-institutional research study to describe the use of North American Nursing Diagnosis Association (NANDA), Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) and test the development of a data warehouse. This electronic system supports automated data extraction which facilitates performance improvement and research. Johnson, M., Bulechek, G., Butcher, H., Dochterman, J., Maas, M., & Swanson, E. (2006). NANDA, NOC, and NIC Linkages: Nursing Diagnoses, Outcomes, & Interventions. St. Louis: Mosby.; Bulechek, G., Butcher, H., & Dochterman, J. (2008). Nursing Interventions Classification (NIC). St. Louis: Mosby; Kaiser Permanente of Colorado, (n.d.), SBAR Technique for Communication: A Situational Briefing Model. Retrieved May, 23, 2008, from http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/SBAR/SBARTechniqueforCommunicationASituationalBriefingModel; Moorhead, S., Johnson, M., Maas, M., & Swanson, E. (2008). Nursing Outcomes Classification (NOC).St. Louis: Mosby.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing an Evidence-based Clinical Information System to Enhance Communication and Patient Outcomesen_GB
dc.contributor.authorBoston, Gailen_US
dc.author.detailsGail Boston, MSN, RN-BC, CCRN, Nebraska Methodist Hospital, Omaha, Nebraska, USA, email: gail.boston@nmhs.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182408-
dc.description.abstractThe use of standardized nursing language as part of an evidence-based method for care planning and documentation provides quantification of nursing interventions designed to move the patient to desired outcomes. The patient benefits from the problem-focused comprehensive plan as a result of shared outcomes and enhanced communication between disciplines. After an intense review of evidence-based classification systems, this hospital decided to convert an internally produced problem-based care plan to an automated evidence-based framework. Staff nurse members of the Clinical Informatics Council have been valuable contributors to the content and format of the documentation and care planning from its inception. The use of the new electronic care plan has assisted in individualizing patient care, enhancing communication between disciplines and tracking and achieving patient outcomes. Examples include the implementation of a Situation Background Assessment Recommendation (SBAR) tab for hand-off communication, and using the care plan to evaluate quality core measures in the heart failure patient by electronic extraction of data. This system of care planning and documentation has allowed us to participate in a multi-institutional research study to describe the use of North American Nursing Diagnosis Association (NANDA), Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) and test the development of a data warehouse. This electronic system supports automated data extraction which facilitates performance improvement and research. Johnson, M., Bulechek, G., Butcher, H., Dochterman, J., Maas, M., & Swanson, E. (2006). NANDA, NOC, and NIC Linkages: Nursing Diagnoses, Outcomes, & Interventions. St. Louis: Mosby.; Bulechek, G., Butcher, H., & Dochterman, J. (2008). Nursing Interventions Classification (NIC). St. Louis: Mosby; Kaiser Permanente of Colorado, (n.d.), SBAR Technique for Communication: A Situational Briefing Model. Retrieved May, 23, 2008, from http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/SBAR/SBARTechniqueforCommunicationASituationalBriefingModel; Moorhead, S., Johnson, M., Maas, M., & Swanson, E. (2008). Nursing Outcomes Classification (NOC).St. Louis: Mosby.en_GB
dc.date.available2011-10-28T15:22:56Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:22:56Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.