A study of best practices for clinical documentation system implementation.

Nurses are key leaders and team members for the implementation of clinical documentation systems. This paper reviews key success factors during implementation of clinical documentation systems to overcome traditional barriers, ensure commitment to universal goals and facilitate the use of technology for patient safety and continuous quality improvement efforts. Top level management support, particularly from nursing executives, is vital.

2008 HIMSS Survey results: best practices in implementing nursing/interdisciplinary documentation systems.

Health care organizations are increasingly using computer systems to support nursing care documentation; however, processes used to deploy such systems are widely varied. The purpose of this survey was to understand current practices related to implementation of computerized nursing and interdisciplinary documentation systems with the goal to establish best practice guidelines. In Spring 2007, members from the Healthcare Information Management and Systems Society Nursing Informatics Working Group interviewed a sample of 15 hospitals to solicit information regarding the following processes: leadership activities, clinical transformation processes, project management activities, implementation processes, evaluation metrics, terminology and other standards used, and methods used to facilitate end-user adoption.