Releasing Time To Care: Efficiencies in Nursing

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Releasing Time to Care Efficiencies in Nursing Increased demands on today’s health care professionals to comprehensively document care provided to patients, often lead to less time spent by the bedside. Shift studies indicate that approximately 19% of nursing time is spent on direct patient care activities.

Less than 12 minutes in every hour of a nurse’s shift is spent delivering direct patient care

Cerner’s solutions enable nurses to improve health outcomes, strengthen patient safety and release nursing time to reinvest back into direct patient care.

Nurse Rounding, Documentation and Communication Substantial time is dedicated by nursing staff to complete patient care documentation. Our solutions are designed to alleviate this burden – from starter packages of core nursing assessments to care management dashboards.

Electronic documentation is a key enabler to standardising assessments, ensuring the continuity of care and integrating care pathways

Optimised electronic clinical documentation enhances:  Efficiency – eliminating duplication and providing easy access to a single source of information  Audit and outcomes – data is routinely captured automatically during standard nursing documentation  Safety - care plan dashboards provide crucial handover information transferred between care givers ensuring continuity across boundaries of care  Informed decision making – automatic prompts embedded in workflow allow informed, quick decisions based on evidence, rather than memory Electronic documentation presents an excellent foundation for integrated plans of care. Treatment decisions are underpinned by evidence-based best practice, supporting improved outcomes and increased patient safety.

Cerner Limited / 37 North Wharf Road / London W2 1AF / United Kingdom / Tel: +44 (0) 20 7432 8100 / cerner.co.uk


In a climate of constrained budgets, nursing staff can prioritise resources without compromising standards

Safety Thermometer Quality metrics are core to managing performance levels from which standards of care can be improved. Cerner has designed packages aimed at improving outcomes associated with harm free care - supporting compliance against national CQUINs.  Risk assessments – identifying those at risk of preventable harm such as pressure ulcers, VTE and falls prevention  Decision support – reducing reliance upon memory-based care by embedding knowledge driven best practice into the clinical workflow  Integrated plans of care – evidence-based care plans uniting assessments, interventions, referrals and goals to drive exemplar standards of care  Clinical dashboards – real time insight into standards of care and compliance metrics at patient and ward levels  Reporting – retrospective audit to highlight variance from recommended/ planned activities, enabling a continuous performance improvement process Time spent collecting this data reduces time dedicated to patient care. Cerner’s Safety Thermometer solution automatically collects auditable data in real time as a by-product of daily tasks.

Clients using the Cerner’s early warning system have demonstrated an 11-14% reduction in overall length of stay and a decrease in mortality of 17-24% for patients acquiring sepsis.

Lack of access to patient information held in other care settings is preventable and should never adversely impact patient experience or safety

Device Integration One in twenty deaths in hospital are preventable with a vast majority citing inadequate clinical monitoring as a contributory factor. Early warning indicators can alert care givers to initiate clinical monitoring processes. Cerner’s solutions connect mobile vital sign monitors and are able to integrate all applicable bedside devices. Data then flows directly into the electronic system where the nurse is able to verify and seamlessly commit it to the patient record. Early warning systems can be automated allowing early intervention and ultimately saving lives. Furthermore transcription errors are eliminated and in acute areas significant time is released to reinvest back to patient centred activities. A case study on behalf of the University of Alabama-Birmingham revealed over 3 hours of time savings in a nursing shift through integration of monitoring devices.

Connecting to Primary Care Accessible patient information in high throughput areas such as the Emergency Department is critical to delivering safer care. Searching for previous history and notes is time consuming and may not guarantee up to date information such as home medications. Patients are often asked to recall and repeat information which is documented in their primary care record.

For further information contact: Cathy.Patterson@cerner.com www.cerner.co.uk

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Cerner connects to primary care records to display the latest patient information. This solution can be linked to any number of systems to gather pertinent clinical information relating to the patient.


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