Abstract
Patient demographic information was the only redundancy and was entered separately into the care planning system on the first admission to avoid needing to create separate HL7 admission/discharge/transfer feeds from each test site’s electronic health record (EHR) before full testing was completed. Compliance for updating care plans at handoffs was astonishingly high across all participant units in comparison to the less than 50% rate that others have found when care plan updating requirements are less stringent. Intense advocacy by managerial and staff nurses for adopting the care planning system after the study was met with opposition from central decision makers responsible for the information technology (IT) decisions at the same hospitals. The nurses in both the study and non-study hospitals seeking to implement the care planning and documentation system accepted the decisions of the IT teams at their respective hospitals, trusting that the functionality would soon appear in their EHRs.
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