The Hospital in Denia presents in London keys to achieve efficiency in the medical practice.

– Were aware from the outset that the success of the introduction of a computer system depends on above all professionals and focus towards more efficient work processes ”, commented Catalina Espín

-the survey conducted to know the degree of satisfaction of professional nurses with the use of Cerner Millennium ™ reveals that 94.2% of users considered that the system is easily accessible, 93.3% are satisfied with their degree of usability and 95% of them are satisfied with him

Dénia, 2012-February within the framework of Collaboration Forum of bolting in London, the Hospital in Denia has presented the Conference healthcare process: search for efficiency in care ” the hand of Catherine spinDirector of care and services of the Hospital in Denia, Carmen Bohigues, Coordinator of biological diagnostic field nursing, research and teaching, and Vicent Moncho, Director of systems and information technology.

Over the three days that has lasted the London Collaboration Forum, numerous vocational and European hospitals of technology for the management of health have gathered to share knowledge, take advantage of networking opportunities, attend demonstrations and discover the latest innovations from the solutions of bolting in Europe. Next to the Hospital of Denia, other prestigious European hospitals have presented their experience, such as Barts and The London NHS Trust, Newcastle upon Tyne Hospitals NHS Foundation, the Mainz Academic Hospital or Hospital Universitario Son Espases, with the intervention of the Director of medical information, Dr. Fernando Barturen.

During his presentation, experts of the Hospital of Dénia have pointed out how nursing care are a key part of the patient care which is organized with autonomy and following a methodology of planning of care. Catalina spin, and Carmen Bohigues have explained how it was conceived the selection and definition of computer technology with the object that this tool would lead to greater efficiency in the management of the care process.

Definition and Cerner Millennium implementation ™ for the practical nurse

Were aware from the outset that the success of the introduction of a computer system depends on above all professionals and focus towards more efficient work processes ”, commented Catalina Espín. Therefore defined the objectives which should comply with Cerner Millennium ™:

-guidance to the patient, so that the information system is linked to the person and all actions aimed at the benefit of the patient.

-orientation to the professional, which should provide tools of efficiency for the day to day operations, releasing the professional activities of higher value added.

-orientation to processes, with the aim of integrating a horizontal view of the organization.

-continuum of care, to give support to the longitudinal and transverse vision of provision.

-generator of quality with features aimed at guaranteeing the quality of care (protocolización)(guides for action, aid decision, alerts and continuous improvement support utilities).

-reference for knowledge, that it should act as a concentrator and diffuser of knowledge of the Organization, with facilities for the definition and Exchange, communication and work collaborative.

-strategic alignment with the Organizationcovering the approach of management by objectives and results according to areas of responsibility.

To achieve the above-mentioned objectives, the hospital joined the existing departmental administrative support support based on the strategy of management. we focus on delimiting the field of activity of the nurses, systematize care allowances and consider instruments to assess the effectiveness and efficiency ”, Carmen Bohigues highlighted. In this sense, he added, nurses need a methodology to standardize the care process and allows to make a classification of interventions with capacity to measure the quality of what we do. ” therefore established a system of care evaluation and systematization of the process defined nurse: assessment, diagnosis, planning, implementation and evaluation.

Promotion of the implementation of the evidence through the taxonomy

To optimize this process, defined the taxonomy so allow the use of standardized languages and that common language to facilitate the analysis of the information and its evaluation, the application of knowledge on a scientific basis, continuous revisions to the development of systems of care information and decision making of student nurses.

Selected taxonomy was NANDA, NOC, and NIC. Nanda was established a common nurse diagnosis, i.e., unified clinical trial on the responses of individual, family or community to actual or potential health problems. The use of NOC in response to the need for a common language applicable to information systems to measure and assess the quality, effectiveness and innovation of nursing care. For nurses interventions identified the use of IAS that allow clinical documentation, care communication, integration of data, effective investigation, the quantification of productivity and competency assessment.

The use of a database managed by means of a standard language allowed, with the support of Cerner Millennium ™, the Organization of the data and the access to them.

Clinical adoption and satisfaction of professionals

In the design of Cerner Millennium ™ participated, among others, eight nurses, a documentalist, a pharmacist, a doctor, three technicians and the team of Cerner. From the first day pulled out all the solutions: emergency, hospitalization, surgery … etc., which meant a radical change in the dynamics of work. The result is that we are endowed with a solution with which we manage lists of working in emergency, hospitalization, surgical follow-up, scheduled activities, registration lists and nursing assessment, view interactive, we drew up plans of care, medication CCTV … etc., enabling us to increase patient safety and efficiency in our daily work ”, commented Catalina Espín.

To assess the degree of satisfaction of professional nurses with the use of Cerner Millennium ™, Dénia Hospital conducted a survey whose main results reveal that 94.2 per cent of users considered that the system is easily accessible, 93.3% are satisfied with their degree of usability and 95% of them are satisfied with him. These data are particularly relevant given that practitioners through the use and adoption of the computer system, are the architects of the success of its implementation and those who have contributed decisively to electronic medical history of Denia Hospital has been awarded a level 6 on 7 of HIMMS (society of information management and systems in health), being the first hospital Spanish in to get it and the first European hospital that Cerner reaches this certification.