Oral Abstract O31 IMPLEMENTING A NEW CLINICAL INFORMATION SYSTEM (CIS) IN ADULT INTENSIVE CARE (AICU): CELEBRATING 1 YEAR
Conference theme: Research & Development Author S. Ramkissoon1 1 St Mary’s Hospital Using clinical information systems in intensive care is becoming the norm as ICUs are becoming more technologically advanced. The expectations are that nurse’s knowledge, skill and competence advances with technology, providing high quality care (DoH, 2000). CIS have been used for the last 15years, but not much data or research is available about implementing a CIS, or the processes involved, or how nurses deal with such drastic change in practice. How are these then considered for implementation, and how is a CIS incorporated into daily nursing practice, development, and education on AICU? A CIS was implemented due to: its efficiency to enhance clinical decision making, reducing omissions and variations in care and promoting standardized best practice, guidelines and protocols; it stores patient records making them legible and easily accessible to staff in real time; it facilitates auditing, data collecting, and clinical research; the accuracy of costing ICU episode of each patient; it’s environmentally friendly, and it was the perfect time to change practice as a new unit was being built (SMH ITU Business Plan, 2007). Post CIS implementation, AICU is 99% paperless, it’s used for all aspects of documentation from admission to discharge, and reviewed frequently to ‘perfect’ it. Reference Information References Publications Policy and Guidelines, DoH, (2000). Comprehensive critical care: a review of adult critical care services. [Online] (Updated date not available) Available at: http://www.dh.gov.uk [Accessed: 29th April 2010] Burgis, S., 2007. SMH ITU Business plan for new ICU, London: St Marys Hospital Bibliograpy Wakefield, D., Halbesleben, J., Ward, M., Qiu, Q., Brokel, J., & Crandall, D., (2007). Development of a measure of clinical information systems expectations and experiences. Medical Care 45(9): 884-890. Available at: Journals@Ovid. [Accessed: 30th April 2010] Gruber, D., Cummings, G., Leblanc, L., & Smith, D., 2009. Factors influencing outcomes of clinical information systems implementation: A systematic review. CIN: Computer, Informatics, Nursing. 27(3): 151-163. Available at: Journals@Ovid [Accessed: 30th April 2010] Cotter, C., 2007. Making a case for clinical information system: the chief information officer view. Journal of Critical Care. 22(1):56-65, March 2007. Available at: Journals: Ovid. [Accessed: 30th April 2010.]
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Oral Abstracts