HIT Support for Safe Nursing Care

描述（由申请人提供）：为了加强安全文化并减少医院单位的错误，来自高风险行业的经验教训可以提高健康信息技术（HIT）支持的护士护理计划和记录保存的有效性。 这个为期三年的项目通过标准化和结构化围绕它的活动来支持护理规划过程，并使其在一个单位的护士之间，单位之间和卫生保健环境之间转移。 中心假设是，重新设计的HIT支持的护理规划过程，通过发展更大的“集体思维”，“正念”，“留心相互关联”护士跨时间和设置，以促进信息流，导致安全文化。 本研究涉及AHRQ目标5，涉及创造和传播有关HIT价值的知识，以及创造有关HIT在各种医疗保健环境中的益处的新知识和证据。 该项目的具体目标是：1）证明HIT可以成功实施，以支持护士在一个动态的护理规划过程中，包括规划和提供护理单位内和跨医疗机构;和2）证明HIT支持的护理规划过程导致更强大的安全文化。 五个医疗机构的八个护理单位（第一年四个单位，第二年四个单位）的便利样本将完成护理规划培训，并在实时条件下实施动手自动护理数据系统（HANDS）护理规划过程，以测试标准化和改善沟通以及加强安全文化。 数据分析和解释将为未来在全国范围内实时实施的长期目标提供信息，从而实现跨学科整合，并为电子健康记录（EHR）的执行提供信息。

DESCRIPTION (provided by the applicant): To enhance safety culture and reduce errors in hospital units, lessons from high-risk industries can increase effectiveness of health information technology (HIT)-supported nurse care-planning and record-keeping. This three-year project supports the care planning process by standardizing and structuring the activities surrounding it, and making it transferable between nurses on one unit, between units, and among health care settings. The central hypothesis is that the reengineered HIT-supported care planning process leads to a safety culture through the development of greater "collective mind," "mindfulness," and "heedful interrelating" among nurses across time and settings by to facilitate information flow. This study addresses AHRQ Objective 5, relating to the creation and diffusion of knowledge regarding the value of HIT, and to the creation of new knowledge and evidence regarding the benefits of HIT in various health care settings. The specific aims of this project are: 1) to demonstrate that HIT can be successfully implemented to support nurses in a dynamic care planning process encompassing both the planning and provision of care within units and across healthcare settings; and 2) to demonstrate that a HIT-supported care planning process leads to a stronger safety culture. A convenience sample of eight nursing units (four units in year one, four units in year two) in five healthcare organizations will complete the care planning training and implement the Hands-on Automated Nursing Data System (HANDS) care planning process under real-time conditions to test standardization and improvement in communication and enhancement of a safety culture. Data analysis and interpretation will inform the long-range goal of a future real-time implementation in settings across the country, leading to interdisciplinary integration and informing execution of an Electronic Health Record (E.H.R.).