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  1. Carroll, Tracy MSN, RN, NE-BC, CMSRN
  2. Tonges, Mary PhD, RN, NEA-BC, FAAN
  3. Ray, Joel USAF, NC, MSN, RN, NE-BC
  4. Colonel, (Ret.)


This article describes 1 organization's successful approach to mitigating the potential negative effects of a new electronic medical record on patient experience. The Carolina Care model, developed at the University of North Carolina Hospitals to actualize caring theory in practice, helped to structure and greatly facilitate this work. Seven focus areas were integrated to create the "Communication in an Electronic Environment" program with a strong emphasis on nurse-patient communication.