Cowden Shannon, Johnson L Clark
University of Washington Medical Center, Seattle, WA 98105, USA.
Comput Inform Nurs. 2004 Mar-Apr;22(2):90-3. doi: 10.1097/00024665-200403000-00009.
Forms capturing redundant data can lead to duplicate documentation. This can be a source of patient and staff frustration, as well as data errors. The definition of a process aimed at examining the data captured on forms documenting similar aspects of patient care is necessary to avoid this problem of duplicate documentation. A data-driven systematic process for consolidation of the multiple redundant forms used in various patient care areas across a healthcare delivery system is proposed and tested using the 21 intake forms currently used by a regional Health Maintenance Organization (HMO). The analytic and subsequent reporting processes used in this project provide a systematic method of forms consolidation that can be applied to other settings.
收集冗余数据的表单可能导致重复记录。这可能会让患者和工作人员感到沮丧,还会导致数据错误。为避免重复记录问题,有必要定义一个流程,用于检查记录患者护理相似方面的表单所收集的数据。本文提出了一种数据驱动的系统流程,用于整合医疗服务系统中各个患者护理区域使用的多个冗余表单,并使用某地区健康维护组织(HMO)目前使用的21份入院表单进行了测试。本项目中使用的分析及后续报告流程提供了一种表单整合的系统方法,可应用于其他场景。