Are Technology Interruptions Impacting Your Bottom Line? An Innovative Proposal for Change

摘要

BACKGROUND Nursing interruptions are a costly and dangerous variable in acute care hospitals. Malfunctioning technology equipment interrupts nursing care and prevents full utilization of computer safety systems to prevent patient care errors. AIMS This paper identifies an innovative approach to nursing interruptions related to computer and computer cart malfunctions. The impact on human resources is defined and outcome measures were proposed. A multifaceted proposal, based on a literature review, aimed at reducing nursing interruptions is presented. This proposal is expected to increase patient safety, as well as patient and nurse satisfaction. SETTING Acute care hospitals utilizing electronic medical records and bar‐coded medication administration technology. PARTICIPANTS Nurses, information technology staff, nursing informatics staff, and all leadership teams affected by technology problems and their proposed solutions. METHODS Literature from multiple fields was reviewed to evaluate research related to computer/computer cart failures, and the approaches used to resolve these issues. RESULTS Outcome measured strategic goals related to patient safety, and nurse and patient satisfaction. Specific help desk metrics will demonstrate the effect of interventions. CONCLUSIONS This paper addresses a gap in the literature and proposes practical and innovative solutions. A comprehensive computer and computer cart repair program is essential for patient safety, financial stewardship, and utilization of resources.