Subject(s)
Bed Occupancy/statistics & numerical data , Diagnosis-Related Groups/classification , Needs Assessment/organization & administration , Nursing Staff, Hospital/supply & distribution , Personnel Staffing and Scheduling/organization & administration , Workload , Diagnosis-Related Groups/statistics & numerical data , Humans , Length of Stay/statistics & numerical data , Nursing Administration Research , Nursing, Supervisory/organization & administration , Reproducibility of ResultsABSTRACT
The University of Iowa Hospitals and Clinics (UIHC) implemented an online documentation system for patient care orders in 1994-1996. Developed entirely in-house, the INFORMM NIS (Information Network for Online Retrieval & Medical Management Nursing Information System) features order-generated task lists, defaulted charting responses, computer-generated chart forms, and graphical data displays. To measure the impact of automation on user perceptions, and documentation compliance, completeness, time, and location, a team of nursing and information systems representatives captured data before and after implementation. Staff surveys show more positive user perceptions. Documentation results indicate increased compliance and completeness, and a decrease or no change in time. Online documentation occurs mainly at unit workstations.
