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在护士主导的初级保健实践中实施护士信息系统:一个正在进行的过程。

Implementing a nurse information system in a nurse-managed primary care practice: a process in progress.

作者信息

Wong S T, Bernick L A, Portillo C, Stewart A, Taylor D, Duderrstadt K, Gilliss C L

机构信息

University of California, San Francisco 94143-0606, USA.

出版信息

Clin Excell Nurse Pract. 1999 Mar;3(2):123-7.

PMID:10646401
Abstract

As part of a larger project, a nurse-managed primary care clinic (Valencia Pediatric and Family Practice) sought to implement a nursing information system for the purposes of (1) patient record keeping, (2) capturing advanced practice nursing interventions and outcomes and transforming them into standardized language, (3) project data management, and (4) evaluating advanced practice nursing care thereby improving and standardizing quality of care. This article represents the background information for selection of a data management system and early experiences of implementation.

摘要

作为一个更大项目的一部分,一家由护士管理的初级保健诊所(瓦伦西亚儿科与家庭医疗诊所)试图实施一个护理信息系统,目的如下:(1)保存患者记录;(2)记录高级实践护理干预措施及结果,并将其转化为标准化语言;(3)进行项目数据管理;(4)评估高级实践护理服务,从而提高护理质量并使其标准化。本文介绍了选择数据管理系统的背景信息以及实施初期的经验。

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