Cocchieri Antonello, Di Sarra Luca, D'Agostino Fabio, Bravetti Chiara, Pignocco Marco, Vellone Ercole, Alvaro Rosaria, Zega Maurizio
Dirigente delle Professioni Sanitarie, Fondazione Policlinico A. Gemelli, Roma, Italia.
Dottorando di ricerca in Scienze Infermieristiche, Università Tor Vergata, Roma, Italia.
Ig Sanita Pubbl. 2018 Jul-Aug;74(4):315-328.
The Professional Assessment Instrument (PAI) is a clinical nursing information system used in the adult inpatient units of the A. Gemelli university hospital in Rome (Italy). The PAI allows for the systematic collection of nursing care data in order to improve the quality of care. So far, few clinical nursing information systems have been developed in the neonatal and pediatric care setting. The aim of this study is to describe the development and implementation of a clinical nursing information system (PAIped) for the neonatal and pediatric care setting.
The Patient-and Family-Centered Care model was used to develop the contents of the PAIped. A web platform application was developed for the PAIped. The standard nursing terminology Clinical Care Classification System was used. A decisionmaking support system was developed within the PAIped to support nurses in making diagnoses and in selecting the most appropriate nursing interventions.
A clinical nursing information system using a standard nursing terminology was developed in the pediatric and neonatal care setting. After a test phase, the PAIped was implemented in all the pediatric and neonatal inpatient units of the A. Gemelli university hospital.
The development and implementation of the PAIped in the A. Gemelli university hospital allowed the monitoring of nursing care processes and accurate nursing documentation.
专业评估工具（PAI）是一种临床护理信息系统，用于意大利罗马圣心天主教大学综合医院的成人住院科室。PAI能够系统收集护理数据，以提高护理质量。到目前为止，在新生儿和儿科护理环境中开发的临床护理信息系统很少。本研究的目的是描述一种用于新生儿和儿科护理环境的临床护理信息系统（PAIped）的开发与实施。
采用以患者和家庭为中心的护理模式来开发PAIped的内容。为PAIped开发了一个网络平台应用程序。使用了标准护理术语临床护理分类系统。在PAIped内开发了一个决策支持系统，以协助护士进行诊断并选择最合适的护理干预措施。
在儿科和新生儿护理环境中开发了一个使用标准护理术语的临床护理信息系统。经过测试阶段后，PAIped在圣心天主教大学综合医院的所有儿科和新生儿住院科室实施。
圣心天主教大学综合医院PAIped的开发与实施使得能够对护理过程进行监测并实现准确的护理记录。
