Thoroddsen Asta, Guðjónsdóttir Hanna K, Guðjónsdóttir Elisabet
University of Iceland, Faculty of Nursing, Reykjavik, Iceland.
Landspitali University Hospital (LUH), Reykjavik, Iceland.
Stud Health Technol Inform. 2014;201:79-86.
The purpose of the project was to capture nursing data and knowledge, represent it for use and re-use by retrieval from a data warehouse, which contains both clinical and financial hospital data. Today nurses at LUH use standardized nursing terminologies to document information related to patients and the nursing care in the EHR at all times. Pre-defined order sets for nursing care have been developed using best practice where available and tacit nursing knowledge has been captured and coded with standardized nursing terminologies and made explicit for dissemination in the EHR. All patient-nursing data is permanently stored in a data repository. Core nursing data elements have been selected for transfer and storage in the data warehouse and patient-nursing data are now captured, stored, can be related to other data elements from the warehouse and be retrieved for use and re-use.
该项目的目的是获取护理数据和知识，通过从包含临床和医院财务数据的数据仓库中检索，将其呈现以供使用和重复使用。如今，卢赫医院的护士始终使用标准化护理术语在电子健康记录中记录与患者及护理相关的信息。利用最佳实践制定了护理预定义医嘱集，隐性护理知识已用标准化护理术语进行捕获和编码，并明确用于在电子健康记录中传播。所有患者护理数据都永久存储在一个数据存储库中。已选择核心护理数据元素传输并存储在数据仓库中，患者护理数据现在可以被捕获、存储，与仓库中的其他数据元素相关联，并被检索以供使用和重复使用。
