It sounds like there was an expectation that with a "good system" the hospital could reduce staff or assign other tasks to the nurses with the "extra" time freed up by the system.  It has been our experience that regardless how hopeful organizations are that an IT system will allow them to reduce staff and that this staff reduction should be a part of the benefit accrued to IT this has never been the case.  In all instances, when the benefits realization program has examined the benefits realized by the system they are not due to the ability to reduce staff or to put them on other tasks.  The benefits realized are centered on elimination of duplicative efforts (such as lab and xray tests, etc.), decreases in medical error and better data for improving operations.
 
Thanks

DaveR

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