Description/Overview: Successful implementation and adoption of information technology solutions that provide clinical decision support for practicing nurses in high reliability organizations requires a “yes it works” endorsement from clinicians, administrators, information technology designers, builders and implementers. In addition, success requires that researchers also respond “yes it works” for identification, acquisition and analysis of data. In this symposium, one clinical nursing condition will be presented as an exemplar to describe and demonstrate how the best evidence for nursing practice related to that condition was identified, evaluated, synthesized, made “actionable”, systematically coded and built into a health information system as clinical decision support for staff nurses. The presentation will also describe how metrics are established and data retrieved and analyzed by nurse researchers to provide critical information to clinicians, executives, informaticians, researchers and policy makers. The presenters are the Executive Team of the Knowledge-based Nursing Initiative of the ACW project, a unique partnership among the Aurora Health Care, a large integrated health care system, Cerner Corporation, a large information technology solution company, and University of Wisconsin-Milwaukee College of Nursing.

Learner Objective #1: describe two ways in which information technology can aid in transformation of practice from the perspective of clinician, administrator, researcher, informaticist or public policy maker.

Learner Objective #2: identify one next step to accelerate use of information technology to provide clinical decision and documentation support to nurses as part of their work flow.