Ideal nursing workflows to support the development of information technology solutions
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Jane Englebright, PhD, RN, CENP, FAAN, Senior Vice President & Chief Nurse Executive HCA Healthcare
- Sigma Affiliation
- Iota at-Large
- Contributor Affiliation(s)
- HCA Healthcare, Nashville, Tennessee, USA
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Abstract
An understanding of workflows is fundamental to designing information technology solutions to advance patient care, as these solutions must integrate into the workflow. As a precursor to developing a clinical documentation system, our large healthcare system undertook the task of defining important workflows. We began in 2007 with the formation of a Clinical Workflow Action Team to oversee the defining of workflows and the clinical processes and data flows that would support safe, effective and efficient patient care. The action team and various sub-teams invited clinicians from across the enterprise to discuss ideal workflows. Clinicians were invited to imagine the most ideal workflow and the goals they wanted to see achieved by 2025, irrespective of current technology limitations. With this vision for the future in mind, groups of 20 to 30 practicing clinicians were assembled to discuss important workflows and determine the ideal workflow by consensus. The Clinical Workflow Action Team guided these collaborative review and discussion sessions towards the objectives of safe, effective and efficient workflows, but all components were agreed upon by the clinical experts before inclusion. The proposed ideal workflows were shared via open conference call with clinicians across the enterprise. In total, more than 700 clinicians provided input into the creation and validation of the ideal workflows across the spectrum of nursing care. Consensus was reached quickly due to the overall focus on the workflow processes that were considered ideal rather than the current processes at an individual unit/facility or the limits of current technology. These ideal workflows have persisted with few changes in the ten years since their inception and have become the foundational roadmap for information technology solutions such as clinical documentation systems, medication management systems, order management systems, and nurse call system upgrades.
Repository Posting Date
2019-05-15T20:51:08Z
Type Information
Type | White Paper |
Acquisition | Self-submission |
Review Type | None: Reputation-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Observational |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Ideal Workflows; Information Technology; Clinical Documentation Systems |
CINAHL Subject(s) | Information Systems; Information Technology--Utilization; Information Technology; Workflow |
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