Case C L, Jones L H
Cancer Nurs. 1989 Dec;12(6):332-8.
Although the inpatient Oncology Unit, the Medical Oncology Clinic, and Radiation Oncology provided care for many of the same patients, there was no mechanism for sharing nursing information, and little colleague input from one area to another. In order to meet this need, a nurse from each of the clinic areas was added to the inpatient unit's Patient Care Evaluation Committee. Working through this committee, these nurses developed an Inpatient/Outpatient Data Flow Sheet, which could be initiated in any oncology area to implement information flow when a patient was to be seen in a different setting. It proved to be an effective tool. The flow sheet, along with our rationale, was then presented for consideration as a computerized program to be used between the three areas. After careful investigation, it was approved. This provided the oncology areas with the first data storage capability for nursing in the hospital. It offered oncology nurses in distinct and separate areas access to obtain and update information on shared patients. This manuscript will focus on the computer program and the data base designed for the oncology department and its impact on nurses and patients.
虽然住院肿瘤科、肿瘤内科门诊和放射肿瘤科为许多相同的患者提供护理，但没有共享护理信息的机制，且不同科室之间几乎没有同事间的信息交流。为满足这一需求，每个门诊科室都选派了一名护士加入住院部的患者护理评估委员会。通过该委员会，这些护士制定了一份住院/门诊数据流表，当患者要在不同科室就诊时，可在任何肿瘤科启动该表以实现信息流通。事实证明这是一个有效的工具。随后，这份流程图及其原理被提交审议，以期作为一个在三个科室之间使用的计算机程序。经过仔细调研，该程序获得批准。这为医院的肿瘤科提供了首个护理数据存储功能。它使不同且独立科室的肿瘤科护士能够获取和更新共享患者的信息。本文将重点介绍为肿瘤科设计的计算机程序和数据库及其对护士和患者的影响。
