Ruland C M
Institute of Nursing Science, University of Oslo, PO Box 1120, Blindern, 0317 Oslo, Norway.
Comput Nurs. 2001 Sep-Oct;19(5):187-93.
This article describes the development of a decision support system called CLASSICA, which assists nurse managers in financial management, resource allocation, activity planning, and quality control. CLASSICA integrates information about patient flow and activity, staffing, and the cost of nursing care at the nursing-unit level. The system provides assistance in planning activities, balancing the budget, and identifying barriers to unsatisfactory resource management. In addition, CLASSICA contains forecasting and simulation options to analyze the influence of factors that affect nursing costs. This article describes the system's development process steps to tailor it to the needs of nurse managers and their existing work practices. Nurse managers actively participated in defining their tasks and responsibilities; identified barriers and difficulties in managing these tasks; defined information needs, data input, and output and interface requirements; and identified expected benefits. Clear communication of project goals, strong user involvement, and purposeful benefit planning was used to achieve the goals for CLASSICA: (1) to provide essential information and decision support for effective financial management, resource allocation, activity planning, and staffing; (2) to improve nurse managers' competence in financial management and decision making; (3) to improve cost containment; and (4) to provide a helpful and easy to use tool for decision support.
本文介绍了一个名为CLASSICA的决策支持系统的开发情况，该系统可协助护士长进行财务管理、资源分配、活动规划和质量控制。CLASSICA整合了护理单元层面有关患者流量与活动、人员配备以及护理成本的信息。该系统在活动规划、平衡预算以及识别资源管理不善的障碍方面提供协助。此外，CLASSICA包含预测和模拟选项，以分析影响护理成本的因素的影响。本文描述了使该系统适应护士长需求及其现有工作实践的开发过程步骤。护士长积极参与确定其任务和职责；识别管理这些任务中的障碍和困难；确定信息需求、数据输入、输出及接口要求；并识别预期收益。通过清晰传达项目目标、让用户积极参与以及进行有针对性的效益规划，实现了CLASSICA的目标：（1）为有效的财务管理、资源分配、活动规划和人员配备提供基本信息和决策支持；（2）提高护士长在财务管理和决策方面的能力；（3）加强成本控制；（4）提供一个有用且易于使用的决策支持工具。
