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Implementing a new clinical support system significantly reduced nurses' overtime hours and turnover rates. This system standardizes nursing records, improving patient information sharing and operational efficiency in hospitals.

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Area of Science:

  • Health Informatics
  • Nursing Management
  • Clinical Workflow Optimization

Background:

  • Nursing records, primarily narrative, contribute significantly to overtime and present quality/usability challenges.
  • Inefficiencies in nursing documentation impact hospital costs and operational effectiveness.
  • There is a need for improved methods to share patient condition information between nurses and physicians.

Purpose of the Study:

  • To analyze the value of standardized nursing records for physicians.
  • To develop and evaluate a clinical support system aimed at improving nursing record quality and efficiency.
  • To assess the system's impact on nurses' overtime hours and hospital turnover rates.

Main Methods:

  • Physicians classified patients into 778 process paths based on disease, treatment, and examination.
  • Collaborative development of digital content with prioritized observation items and care actions for each path.
  • Implementation of a clinical support system in a university hospital and four general hospitals, with data collected on overtime hours and turnover rates.

Main Results:

  • The university hospital saw a 27% reduction in nurses' overtime hours.
  • General hospitals experienced significant overtime reductions (47% in November, 41% in December).
  • Turnover rates declined substantially in both the university hospital (from 11.3% to 7.5%) and general hospitals (e.g., 18.5% to 4.8%).

Conclusions:

  • The clinical support system effectively reduces nurses' overtime hours.
  • Implementation of the system leads to a significant decrease in hospital staff turnover rates.
  • Standardized nursing records and digital content enhance patient information sharing and operational efficiency.