Nursing updating electronic mars

They attach meaning to what is and anticipate ‘what might be’ (Meyer & Lavin, 2005).When they anticipate risk, they conduct surveillance, intervene when necessary, and document not only their risk prevention findings/observations, but their reasoning and clinical judgments, interventions, patient responses and outcomes.The care itself is designed, through this planning process, to achieve the desired outcomes (American Nurses Association [ANA], 2010; Shake, n.d.).Direct care nurses are bedside nurses; they include generalists, advanced practice registered nurses, care coordinators, visiting nurses, public health nurses, camp nurses, and school nurses.In brief, they are found in any and every setting where nurses practice.Direct care nurses, at their core, are risk managers.If patient safety is to be optimized through EHR use, effective collaboration between nurses and HIT staff is needed, along with greater clarity of the patient safety perspective that direct care nurses offer.

This article begins to articulate EHR concerns of Missouri nurses.We reflected and articulated direct care nurses’ concerns regarding the EHR.We involved direct care nurses in this initiative because they plan care used to address the clinical judgments/diagnoses flowing from a nursing assessment and provide care to individuals and/or families.It is from these reflections that recommendations flow.They approached the discussion by following the four categories used to organize medication error prevention strategies in the Agency for Healthcare Research and Quality (2012) report.

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