Using evidence-based knowledge in a nursing documentation system.

Abstract

Just as Florence Nightingale based her care delivery decisions on the analysis of outcome results, clinical information systems can support evidence-based nursing content and analysis tools to promote the practice of knowledge-driven nursing. This system demonstration will depict how nursing evidence is embedded into an automated assessment and documentation process to achieve immediate results in such areas as:* Compliance with core quality and clinical performance metrics--including skin integrity, nutritional deficits, IV site care and falls risks. * Integration of patient safety measures such as allergy documentation and medication reconciliation. * Reminders about care management initiatives such as completion of advanced directives and promotion of preventive health measures.