Risk Tools vs. Nurse Perception
A nurse with clinical judgment has perceptions that are often not included in an algorithm (“Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assessment Tool Scores,” April). A nurse who is prepared and trained through national certification preparation will have clinical judgment that is highly valued and can recognize safety and quality issues early. Thank you for considering the role of mined data compared with the clinical judgment of the bedside clinical nurse. Entering data is time consuming for the point-of-care nurse, and data may not even be entered if the nurse is busy caring for patients with interventions to protect safety and quality of care.