A clinical nursing information system named Professional Assessment Instrument (PAI) was developed to record nursing care in a hospital setting. The PAI is useful to identify patients’ needs (nursing diagnoses), nursing interventions and nursing-sensitive outcomes. The aim of this study was to evaluate the impact of the PAI implementation in terms of improving patient safety, reducing health errors, improving efficiency. The evaluation was carried out through quantitative and qualitative methods. Questionnaires were administered before and after the PAI implementation and were examined through multidimensional analyses. Focus groups were conducted with PAI users and were analyzed through text mining.
Keywords: Electronic Health Records; Professional Assessment Instrument; Program Theory; Pluralist Approaches; PCA; Text Mining.