Developing System Requirements get help at
Developing System Requirements
You’ve been chosen to participate in the selection team for a new clinical information system to be purchased and implemented at the community hospital where you are a staff nurse. The selection team has been asked to develop an initial list of requirements that they would like to use for the evaluation of potential systems in relation to documentation of assessments for interprofessional use, including nursing, physician, other ancillary departments like physical therapy and occupational therapy. The selection team has decided to group the requirements that they identify in to the following categories: Developing System Requirements
• Patient care objectives
• IT department objectives
• Organization objectives
Your task for this case study is to use the key considerations listen below to develop a list of system requirements for electronic documentation in a clinical information system, grouping the requirements into the four categories listed above. The key considerations include information that the selection team has gathered in anticipation of developing system requirements. Developing System Requirements
Key Considerations for System Selection
Findings from Inventory of Current Systems Functionality
• Electronic laboratory and radiology report results are produced by ancillary information systems.
• The intensive care units (ICU’s) have and ICU informations system where some documentation is done electronically, including vital signs, intake and output, and some interfaced data from monitoring systems.
Findings from Inventory of Paper Documents and Forms Developing System Requirements
• Nursing notes and care planning are documented on on paper on the medical/surgical units.
• Physician progress notes and orders are on paper.
• Numerous paper forms exist and there are various versions of forms in use with no consistency across the organization.
• Paper order sets are in use. Some order sets are physician specific, with multiple versions for the same diagnosis or procedure. None appear to be evidence based.
Findings from Staff Interviews and Observations Developing System Requirements
Direct observations studies were conducted in the ICU, medical/surgical units, and pediatric units. Observations and interviews were also conducted in various other clinical departments including Physical Therapy (PT), Occupational Therapy (OT), and wound care. The study revealed that there are similarities in the types of data collection in all of these areas. Key findings included the following:
• Need to be able to document using structured data such as pre-defined drop-down boxes.
• Need to be able to enter free-text comments.
• Entry of an electronic assessment must include the user’s electronic signature and current date and time.
• All entries must have the capability to be edited, and changes to the document must be tracked by the system.
SWOT Analysis Developing System Requirements
A SWOT analysis of the current documentation was conducted with the following findings:
• Strengths. Structured electronic data in the ICU facilitates accurate and timely data collection.
• Weaknesses. Lack of standardization may result in inconsistent patient care.
• Opportunities. An electronic order management and documentation system could support evidence-based practice methodology.
• Threats. Paper documentation is difficult to read and could result in patient safety issues