Journal article
Maintaining a Consistent Big Picture: Meaningful Use of a Web-based POC EHR System
International journal of nursing knowledge, Vol.23(3), pp.119-133
10/2012
DOI: 10.1111/j.2047-3095.2012.01215.x
PMCID: PMC3674817
PMID: 23043651
Abstract
OBJECTIVE: To test the hypothesis that Hands-on Automated Nursing Data System (HANDS) "big picture summary" can be implemented uniformly across diverse settings, and result in positive registered nurse (RN) and plan of care (POC) data outcomes across time.
DESIGN: In a longitudinal, multisite, full test study, a representative convenience sample of eight medical-surgical units from four hospitals (one university, two large community, and one small community) in one Midwestern state implemented the HANDS intervention for 24 (four units) or 12 (four units) months.
MEASUREMENTS: (a) RN outcomes-percentage completing training, satisfaction with standardized terminologies, perception of HANDS usefulness, POC submission compliance rate. (b) POC data outcomes-validity (rate of optional changes/episode); reliability of terms and ratings; and volume of standardized data generated.
RESULTS: One hundred percent of the RNs who worked on the eight study units successfully completed the required standardized training; all units selected participated for the entire 12- or 24-month designated period; compliance rates for POC entry at every patient hand-off were 78-92%; reliability coefficients for use of the standardized terms and ratings were moderately strong; the pattern of optional POC changes per episode declined but remained reasonable across time; and the nurses generated a database of 40,747 episodes of care.
LIMITATIONS: Only RNs and medical-surgical units participated.
CONCLUSION: It is possible to effectively standardize the capture and visualization of useful "big picture" healthcare information across diverse settings. Findings offer a viable alternative to the current practice of introducing new health information layers that ultimately increase the complexity and inconsistency of information for frontline users.
Details
- Title: Subtitle
- Maintaining a Consistent Big Picture: Meaningful Use of a Web-based POC EHR System
- Creators
- Gail M. Keenan - University of Illinois ChicagoElizabeth Yakel - University of MichiganYingwei Yao - University of Illinois ChicagoDianhui Xu - LitePoint CorporationLaura Szalacha - Arizona State UniversityDana Tschannen - University of MichiganYvonne Ford - Western Michigan UniversityYu-Chung Chen - Walt Disney Animation StudiosAndrew Johnson - University of Illinois ChicagoKaren Dunn Lopez - University of Illinois ChicagoDiana J. Wilkie - University of Illinois Chicago
- Resource Type
- Journal article
- Publication Details
- International journal of nursing knowledge, Vol.23(3), pp.119-133
- DOI
- 10.1111/j.2047-3095.2012.01215.x
- PMID
- 23043651
- PMCID
- PMC3674817
- NLM abbreviation
- Int J Nurs Knowl
- ISSN
- 2047-3087
- eISSN
- 2047-3095
- Publisher
- Wiley
- Number of pages
- 15
- Grant note
- R01 HS015054 / Agency for Health Care Research and Quality (AHRQ); United States Department of Health & Human Services; Agency for Healthcare Research & Quality P30 NR010680; P30 NR10680S1 / National Institutes of Health (NIH), National Institute of Nursing Research (NINR); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) P30NR010680 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) R01 HS015054 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality R01HS015054 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Language
- English
- Date published
- 10/2012
- Academic Unit
- Nursing
- Record Identifier
- 9984370655502771
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