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Clinical Nurse Specialist Leadership in Computerized Provider Order Entry Design

ROGGOW, DARLA J. MS, RN, AOCN, APRN,BC; SOLIE, CAROL J. MPH, RNC; TRACY, MARY FRAN PhD, RN, CCRN, CCNS, FAAN; GJERE, NIKI MA, MS, RN, APRN,BC

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Purpose The purpose of this clinical project was to design and implement a computerized provider order entry system.

Background Well-designed clinical computer systems can advance best practice and quality decision making, leading to improvements in patient and organizational outcomes.

Description of the Project An Orders Design Group composed of clinical nurse specialists (CNSs), staff nurses, and information management personnel was formed. CNSs used competencies in the system sphere to lead the integration of the needs of patients, nurses, and organizations into new technologies.

Outcome CNSs facilitated implementation of a collaboratively designed interdisciplinary computerized order entry process.

Conclusion Evaluation of the design and implementation process demonstrated greater success with the order entry system under the leadership of CNSs than past initiatives where CNSs were not in leadership roles.

Implications for Nursing Practice CNS competencies in designing and implementing innovative system-level solutions are key to clinical information systems design.

University of Minnesota Medical Center, Fairview, Minneapolis, Minn.

Corresponding author: Darla J. Roggow, MS, RN, AOCN, APRN,BC, University of Minnesota Medical Center, Fairview, 500 Harvard St SE, PCU 7C, Minneapolis, MN 55455 (e-mail: droggow1@fairview.org).

© 2005 Lippincott Williams & Wilkins, Inc.