Rantz Marilyn J, Skubic Marjorie, Alexander Greg, Popescu Mihail, Aud Myra A, Wakefield Bonnie J, Koopman Richelle J, Miller Steven J
Sinclair School of Nursing, University of Missouri, Columbia, Missouri 65279, USA.
J Gerontol Nurs. 2010 Jan;36(1):13-7. doi: 10.3928/00989134-20091204-02. Epub 2010 Jan 12.
As in acute care, use of health information technology in long-term care holds promise for increased efficiency, better accuracy, reduced costs, and improved outcomes. A comprehensive electronic health record (EHR), which encompasses all health care measures that clinicians want to use-both standard health care assessments and those acquired through emerging technology-is the key to improved, efficient clinical decision making. New technologies using sensors to passively monitor older adults at home are being developed and are commercially available. However, integrating the clinical information systems with passive monitoring data so that clinical decision making is enhanced and patient records are complete is challenging. Researchers at the University of Missouri (MU) are developing a comprehensive EHR to: (a) enhance nursing care coordination at TigerPlace, independent senior housing that helps residents age in place; (b) integrate clinical data and data from new technology; and (c) advance technology and clinical research.
与急性护理一样，在长期护理中使用健康信息技术有望提高效率、提升准确性、降低成本并改善治疗效果。全面的电子健康记录（EHR）涵盖了临床医生想要使用的所有医疗保健措施——既有标准的医疗保健评估，也有通过新兴技术获取的评估——是改善高效临床决策的关键。利用传感器在家中对老年人进行被动监测的新技术正在研发中且已投入商业使用。然而，将临床信息系统与被动监测数据整合起来，以增强临床决策并完善患者记录，是一项具有挑战性的任务。密苏里大学（MU）的研究人员正在开发一个全面的电子健康记录系统，目的是：（a）在TigerPlace（一个帮助居民原地养老的独立老年住宅）加强护理协调；（b）整合临床数据和新技术产生的数据；（c）推动技术和临床研究。
