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围手术期护理数据集的演变与修订

Evolution and revision of the Perioperative Nursing Data Set.

作者信息

Petersen Carol, Kleiner Cathy

机构信息

PNDS/Perioperative Informatics, AORN, Inc, Denver, CO, USA.

出版信息

AORN J. 2011 Jan;93(1):127-32. doi: 10.1016/j.aorn.2010.07.015.

Abstract

The Perioperative Nursing Data Set (PNDS) is a nursing language that provides standardized terminology to support perioperative nursing practice. The PNDS represents perioperative nursing knowledge and comprises data elements and definitions that demonstrate the nurse's influence on patient outcomes. Emerging issues and changes in practice associated with the PNDS standardized terminology require ongoing maintenance and periodic in-depth review of its content. Like each new edition of the Perioperative Nursing Data Set, the third edition, published in 2010, underwent content validation by numerous experts in clinical practice, vocabulary development, and informatics. The goal of this most recent edition is to enable the perioperative nurse to use the PNDS in a meaningful manner, as well as to promote standardization of PNDS implementation in practice, both in written documentation and the electronic health record.

摘要

围手术期护理数据集(PNDS)是一种护理语言,它提供标准化术语以支持围手术期护理实践。PNDS代表围手术期护理知识,由数据元素和定义组成,这些数据元素和定义展示了护士对患者结局的影响。与PNDS标准化术语相关的新出现的问题和实践中的变化需要对其内容进行持续维护和定期深入审查。与围手术期护理数据集的每一版一样,2010年出版的第三版经过了临床实践、词汇发展和信息学等众多专家的内容验证。最新版的目标是使围手术期护士能够以有意义的方式使用PNDS,并促进PNDS在书面文件和电子健康记录中的实践实施标准化。

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