ISMETT is an organ transplant centre developed in partnership between the Region of Sicily, the Civico and Cervello Hospitals in Palermo and the University of Pittsburgh Medical Center.
In 2013 it developed a Nursing Care Score system, built into the electronic health record to optimise nursing workload and staff allocation. The system takes 53 nursing work tasks and assigns them a score. This is then used to determine the nurse to patient ratio and the nurse’s tasks related to each patient. The outcomes have had a positive impact on nurse job satisfaction and the frequency of adverse events.