Research and Projects: AHRQ THQIT and SRD Portfolio

Michigan

HIT Support for Safe Nursing Care

Description:  Examines the use of the HANDS software system, an health IT-supported care planning process for nursing care, and its ability to be transferable between nurses, units, and health care settings.

Abstract:  DESCRIPTION (provided by the applicant): To enhance safety culture and reduce errors in hospital units, lessons from high-risk industries can increase effectiveness of health information technology (HIT)-supported nurse care-planning and record-keeping. This three-year project supports the care planning process by standardizing and structuring the activities surrounding it, and making it transferable between nurses on one unit, between units, and among health care settings. The central hypothesis is that the reengineered HIT-supported care planning process leads to a safety culture through the development of greater "collective mind," "mindfulness," and "heedful interrelating" among nurses across time and settings by to facilitate information flow. This study addresses AHRQ Objective 5, relating to the creation and diffusion of knowledge regarding the value of HIT, and to the creation of new knowledge and evidence regarding the benefits of HIT in various health care settings. The specific aims of this project are: 1) to demonstrate that HIT can be successfully implemented to support nurses in a dynamic care planning process encompassing both the planning and provision of care within units and across healthcare settings; and 2) to demonstrate that a HIT-supported care planning process leads to a stronger safety culture. A convenience sample of eight nursing units (four units in year one, four units in year two) in five healthcare organizations will complete the care planning training and implement the Hands-on Automated Nursing Data System (HANDS) care planning process under real-time conditions to test standardization and improvement in communication and enhancement of a safety culture. Data analysis and interpretation will inform the long-range goal of a future real-time implementation in settings across the country, leading to interdisciplinary integration and informing execution of an Electronic Health Record (E.H.R.).

Year 1 Funding:  $490,658

Estimated Total Funding:  $1,486,634

Principal Investigator:  Gail Keenan

Applicant Institution:  Regents of the University of Michigan

City/Town:  Ann Arbor, Michigan

State:  Michigan

Grant Number:  R01 HS15054

Category:  Value Grants (THQIT)

Thesaurus Terms:  automated health care system, computer assisted patient care, computer system design /evaluation, nursing care, patient care planning, patient safety /medical error, automated medical record system, communication, health care service evaluation, nurse, training, clinical research, focus group, health services research tag, human subject, interview

Project Start Date:  Sep 1, 2004

Project End Date:  Aug 31, 2007