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An IT Innovation for Individualizing Care: Success with Clinicians Leading the Way

机译：一个个性化护理的IT创新：临床医生的成功

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In 2004, the Knowledge-based Nursing Initiative (KBNI) began as a partnership between a university-based college of nursing, an informatics vendor, and a large, integrated health care system. The goal was to develop a process for translating evidence into actionable recommendations, embedding the recommendations into the computerized decision support and documentation systems, and supporting nurses' use of the nursing process to individualize care. This paper will describe the essential administrative, information technology (IT), educational and clinical support activities that were used to deploy this innovation into the electronic health record (EHR) and workflow of nurses on two acute care medical pilot units in July of 2008. The project supported every nurse to document their evidenced-based practice with each patient contact and populate the EHR database with rich, nursing sensitive, retrievable data for quality improvement and research. The results included verifying data reliability and validity, evaluating go-live preparation, and summarizing the qualitative and quantitative findings. Two critical factors that made this implementation a success were that the project had a transformational vision and that it was led by the clinical team and strongly supported by the IT team. The lessons learned in the adoption phase will be diffused to the rest of the health care system and beyond.
机译：2004年，基于知识的护理倡议（KBNI）开始作为一所大学护理学院，信息供应商和一个大型综合医疗保健系统之间的伙伴关系。目标是制定一个将证据转化为可行建议的过程，将建议置于计算机化决策支持和文件系统，并支持护士对个人护理的使用。本文将描述用于将这项创新部署到2008年7月的两项急性护理医疗试点单位的电子健康记录（EHR）和护士工作流程的基本行政，信息技术（IT），教育和临床支持活动。该项目支持每个护士都会通过每次患者联系和填充具有丰富，护理敏感，可检索数据的EHR数据库，以便为富裕，护理，可检索数据进行富裕，以进行质量改进和研究。结果包括验证数据可靠性和有效性，评估上行准备，并概述定性和定量发现。使这一实施的两个关键因素取得了成功的是，该项目具有变革的愿景，并且它由临床团队领导，强烈支持IT团队。采用阶段的经验教训将扩散到其余的医疗保健系统及以后。

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