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The practice of documenting patient information on paper often resulted in a fragmented approach to the recording, visibility and access to information and ease of escalation of patients at risk of deterioration. Nurses and midwives provided leadership as local champions implementing bedside vital signs monitors. An electronic patient record was implemented, supported by a handover page showing a patient's latest National Early Warning Scores (NEWS) score. Handheld devices have been used to reduce documentation time with decision support at the bedside. This is an example of how it is possible to 'champion the use of technology and informatics to improve practice, address unwarranted variations and enhance outcomes' - Commitment 10. The information goes directly to the patient record reducing the incidence of transcription errors and therefore increasing the accuracy of the information. Patient safety has improved as a result of earlier and consistent referral; to critical care outreach and medical colleagues. By using bedside devices Imperial College NHS Trust have been able to release 600 hours of nursing time from routine documentation - that time can be used in direct patient care that supports patient outcomes but also supports the nurses' wellbeing as well. Visit http://www.england.nhs.uk/leadingchange to find out more about Leading Change, Adding Value and access a wealth of resources available to support nursing, midwifery and care staff in making the changes necessary to improve the outcomes and experiences for those they care for.