SYMPOSIUM
Friday, July 15, 2005: 4:30 PM-6:00 PM
Information Crossroads: Where Technology Meets Practice
Learning Objective #1: Identify steps involved in a successful electronic information system implementation and address related perceptions
Learning Objective #2: Identify methods needed for adequate electronic information system training
In November 1999, the Institute of Medicine found that approximately 98,000 Americans die annually from preventable medical errors in hospitals (HIMSS). Consequently, the healthcare industry is more interested in implementing clinical systems. Due to this drastic change in clinical documentation practices, clinical staff are held responsible for implementing electronic information systems (EIS) and providing education. EIS are frequently faulted for non-compliance in patient care. In chart and clinical practice audits, the non-compliance is related to poor clinical practices that were not modified prior to the implementation of EIS. Once the clinical practice has been analyzed and established to meet the standards prescribed by the American Nursing Association, then process redesign can occur. At this point, Clinical Analysts need to build EIS around the best practices being performed. Once the EIS is completed, clinical staff need to be involved with piloting the system. Initial education is designed to include both system functionality and clinical practice. This can be achieved through interactive information-sharing and clinical scenarios. In preparation for training, scripts need to be created with specific content for classes, including a variety of scenarios and examples. This is limited to a small number of instructors to ensure training is consistent for all staff. Training should occur away from the clinical setting and utilize: • One computer per student • Similar hardware available on the unit • Training system that mirrors the live environment • Adult learning principles • Evaluation for continuous improvements Training is reinforced in the clinical setting. Factors affecting the perceptions of EIS include: • Computer inexperience • Physical barriers • Resistance to change • Mismatch between Practice and Technology • Mismanaged Implementation • Inappropriate training This study will focus on processes and perceptions required for successful implementations. The processes involved are analysis, redesign, system build, and education.
Organizer:Tammy R. Martin, RN, BS
Presenters:Marianna K. Smith, RN, BA, MEd
Amy Jones, RN, BSN
Barbara McCracken, MSN, RN
Tammy R. Martin, RN, BS
 Education for Electronic Information Systems
Marianna K. Smith, RN, BA, Masters, of, Industrial, Ed, Amy Jones, RN, BSN, Barbara McCracken, MSN, RN, Tammy R. Martin, RN, BS
 Perceptions Related to Electronic Information Systems
Barbara McCracken, MSN, RN, Marianna K. Smith, RN, BA, Masters, of, Industrial, Ed, Tammy R. Martin, RN, BS, Amy Jones, RN, BSN
 Process Analysis and Process Redesign for Electronic Information Systems
Tammy R. Martin, RN, BS, Marianna K. Smith, RN, BA, Masters, of, Industrial, Ed, Amy Jones, RN, BSN, Barbara McCracken, MSN, RN

16th International Nursing Research Congress
Renew Nursing Through Scholarship
14-16 July 2005
Hawaii’s Big Island