Effectiveness of Monitoring Information System of Nursing Related Patient Safety and Quality Indicators

Background: Monitoring the patient safety and quality of nursing care is essential to identify patients at risk. Monitoring the nursing-related patient safety and quality indicators are important for high-quality nursing care. However, monitoring nursing-related patient safety and quality indicators through information system is a challenge. The nurses' to date workload is increasing. The comprehensive nursing-related patient safety and quality indicators information system should be used to make nurses work of collecting indicator data more efficiency and enhance patient care quality.

Objective: The purposes of this study are 1) to understand the nurses' need and perception toward of the monitoring information system of nursing-related patient safety and quality indicators; 2) to establish the monitoring information system of nursing-related patient safety and quality indicators; 3) to evaluate the monitoring information system of nursing-related patient safety and quality indicators.

Methods: There will be three phases and the study site in the medical center in northern Taiwan. The first phase is information needs assessment. Researchers will hold the meeting of focus group discussion. The subjects will be the nursing manager, head nurse, clinical nurses who are similar to nursing-related patient safety and quality indicators. The self-conducted semi-structure discussion form will be used to collect the data during the meeting of focus group discussion. The questionnaire will be used to collect the perception, attitude, behavior, satisfaction, time-consuming and the accuracy of nursing-related patient safety and quality indicators data from nurses. The second phase will establish the monitoring information system of nursing-related patient safety and quality indicators and clinical implementation. The third phase will evaluate the effectiveness of the monitoring information system of nursing-related patient safety and quality indicators. The questionnaire will be used to collect the satisfaction, time-consuming and the accuracy of nursing-related patient safety and quality indicators from nurses during the evaluation phase.

Expected results: The investigators will understand the nurses' need and perception toward of the monitoring information system of nursing-related patient safety and quality indicators and establish it. After establishing the monitoring information system of nursing-related patient safety and quality indicators, the investigators can obtain the result through information technology to achieve the accuracy of indicator data and the high efficiency of nursing quality control. Moreover, it can decrease the time consuming and burden to collect data of indicators, improve the nurses' and nurse managers' satisfaction and positive experiences. In addition to that, the investigators can also get the goal of creating patient safety and high-quality nursing care.