The Nursing Informatics Implementation Guide

1. Front Matter

   Pages i-xxix

   PDF

2. Implementation Overview

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 1-19

3. Nursing Informatics Overview

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 20-28

4. The Role of the Informatics Nurse in a Computer System Implementation

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 29-57

5. System Selection

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 58-86

6. Project Scope, Time Line, and Budget

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 87-112

7. Political Landscape

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 113-126

8. Risk

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 127-145

9. Product Customization

   • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

   Pages 146-169

10. Training

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 170-188

11. System Deployment

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 189-212

12. System Evaluation

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 213-234

13. System Maintenance

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 235-250

14. Organizational Project Planning

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 251-275

15. Software Development

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 276-297

16. Data Security and Legal Considerations

    • Eleanor Callahan Hunt, Sara Breckenridge Sproat, Rebecca Rutherford Kitzmiller

    Pages 298-312

17. Back Matter

    Pages 313-322

    PDF

Health institutions are investing in and fielding information technology solutions at an unprecedented pace. With the recommendations from the Institute of Medicine around information technology solutions for patient safety, mandates from industry groups such as Leapfrog about using infor­ mation systems to improve health care, and the move toward evidence­ based practice, health institutions cannot afford to retain manual practices. The installation of multi-million dollar computerized health systems repre­ sents the very life blood of contemporary clinical operations and a crucial link to the financial viability of institutions. Yet, the implementation of health information systems is exceptionally complex, expensive and often just plain messy. The need for improvement in the art and science of systems implemen­ tation is clear: up to 70-80% of information technology installations fail. The reasons are multi-faceted, ranging from the complexity of the diverse workflows being computerized, the intricate nature of health organizations, the knowledge and skills of users to other reasons such as strategies for obtaining key executive support, weaving through the politics peculiar to the institution, and technical facets including the usability of systems. Thus, the art and science of successfully implementing systems remains deeply layered in elusiveness. Still, given the pervasiveness of system implementa­ tions and the importance of the outcomes, this is a critical topic, especially for nurses and informatics nurse specialists.

• Radiologieinformationssystem
• computer
• evaluation
• informatics
• information technology
• nursing
• software development

• Informatics Consultant, Raleigh, USA

  Eleanor Callahan Hunt

• 67th Combat Support Hospital, Unit, Wuerzburg, Germany

  Sara Breckenridge Sproat

• Duke University Health System, Durham, USA

  Rebecca Rutherford Kitzmiller

Policies and ethics