A closer look at nursing documentation on paper forms: preparation for computerizing a nursing documentation system.
Comput Biol Med
; 41(4): 182-9, 2011 Apr.
Article
en En
| MEDLINE
| ID: mdl-20846646
ABSTRACT
A small scale documentation analysis was conducted to explore the medical and surgical nursing content of the patient record at a large teaching hospital affiliated with Partners Healthcare System (PHS), in preparation for a computerized documentation system. Through this study, we identified a number of problems associated with the paper record that require resolution in the new computerized system, including elimination of documentation redundancy, areas where more structure is needed to properly capture data on nursing practice, and various design considerations to support a more complete and accurate documentation of nursing care.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_sistemas_informacao_saude
Asunto principal:
Sistemas de Registros Médicos Computarizados
/
Control de Formularios y Registros
/
Atención de Enfermería
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Comput Biol Med
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos