ABSTRACT
Introduction-It Began With a Vision For years, nurses have complained that clinical information systems (CIS) for nurses have merely been an upload of a paper and pencil system into a digital record. Nurses spend their scarce and valued time entering data into EHRs but receive back very little information in return. Furthermore, although some progress has been made in recent years to provide nurses with evidence to guide their practice, most CISs remain awkward to use and are not easily accessed at the point of care, at which nurses most need clinical decision support. In the opinion of many nurses, CISs merely provide electronic patient records with little ability to provide intelligent clinical information to inform and guide nurses through the assessment, diagnosis, and intervention phases of the nurse-patient encounter.
