Reilly C A, Zielstorff R D, Fox R L, O'Connell E M, Carroll D L, Conley K A, Fitzgerald P, Eng T K, Martin A, Zidik C M, Segal M
Department of Nursing, Patient Care Services, Massachusetts General Hospital, USA.
Proc AMIA Symp. 2000:680-4.
This paper describes the design of an inpatient patient assessment application that captures nursing assessment data using a wireless laptop computer. The primary aim of this system is to capture structured information for facilitating decision support and quality monitoring. The system also aims to improve efficiency of recording patient assessments, reduce costs, and improve discharge planning and early identification of patient learning needs. Object-oriented methods were used to elicit functional requirements and to model the proposed system. A tools-based development approach is being used to facilitate rapid development and easy modification of assessment items and rules for decision support. Criteria for evaluation include perceived utility by clinician users, validity of decision support rules, time spent recording assessments, and perceived utility of aggregate reports for quality monitoring.
本文描述了一个住院患者评估应用程序的设计，该程序使用无线笔记本电脑获取护理评估数据。该系统的主要目的是获取结构化信息，以促进决策支持和质量监测。该系统还旨在提高记录患者评估的效率、降低成本，并改善出院计划以及对患者学习需求的早期识别。使用面向对象的方法来引出功能需求并对提议的系统进行建模。正在使用基于工具的开发方法来促进评估项目和决策支持规则的快速开发与轻松修改。评估标准包括临床医生用户的感知效用、决策支持规则的有效性、记录评估所花费的时间，以及汇总报告对质量监测的感知效用。
