RESUMEN
Shortening hospital stays increases communication needs between nurses in inpatient and outpatient wards. Smooth information sharing is required to reduce the workload of nurses and improve the quality of patient care. However, electronic medical records (EMR) system does not have sufficient functions to support information sharing between wards, because EMR has been developed mainly for recording. This study led to three improvements; unified communication tool, common patient list linked to EMR, and outpatient nursing diagnosis.
Asunto(s)
Pacientes Internos , Pacientes Ambulatorios , Humanos , JapónRESUMEN
Access logs for electronic medical records (EMRs) are a useful source of data for understanding how nurses' perform their duties. The purpose of this study was to understand how nurses' used an EMR system, by inspecting and analyzing from one week EMR access logs (394,708) of accessing 'outcome Input' screen. Anytime day and night, nurses accessed 'outcome Input' screen. Viewing and information input obtained from observations, in order to monitor patients' conditions over tasks such as keeping nursing records.
Asunto(s)
Registros Electrónicos de Salud/estadística & datos numéricos , Almacenamiento y Recuperación de la Información/métodos , Proceso de Enfermería/estadística & datos numéricos , Registros de Enfermería/estadística & datos numéricos , Personal de Enfermería en Hospital/estadística & datos numéricos , Pautas de la Práctica en Enfermería/estadística & datos numéricos , Japón , Atención de Enfermería/estadística & datos numéricos , Revisión de Utilización de RecursosRESUMEN
A context aware nursing support system to push right information to the right person at the right moment is the key to increase clinical safety under a computerized hospital. We prototyped a system which obtains context from positions of nurses and list of expected clinical procedures. A WoZ test showed that the proposed approach has potential to decrease incidents caused by information delivery error.
