Kuusisto Anne, Joensuu Anne, Nevalainen Minna, Pakkanen Terhi, Ranne Paula, Puustinen Juha
Administration Centre, Satakunta Hospital District, Pori, Finland.
Medical Care Area, Satakunta Hospital District, Pori, Finland.
Stud Health Technol Inform. 2019 Aug 21;264:664-668. doi: 10.3233/SHTI190306.
This article describes development of the multi-professional discharge checklist and its implementation into the nursing documentation system (NDS) as part of the patient's overall care plan. The aim was to harmonize patient's admission and care period documentation and to improve the quality of electronic nursing discharge summaries. The ultimate goal was to ensure continuity of care. The multidisciplinary discharge checklist was developed in two phases to support the discharge of elderly patients (over 65 years). First, the information content of the checklist was defined, and second, it was integrated into the NDS. Focus groups of social and healthcare professionals (n = 82) in specialist health care, primary health care and social services defined the information content and participated in the feedback and checking rounds. The development work should continue. Particular attention should be given to the technical performance of discharge checklists in the NDS.
本文描述了多专业出院检查表的开发及其在护理文档系统（NDS）中的实施情况，作为患者整体护理计划的一部分。目的是协调患者入院和护理期间的文档记录，并提高电子护理出院小结的质量。最终目标是确保护理的连续性。多学科出院检查表分两个阶段开发，以支持老年患者（65岁以上）出院。首先，定义检查表的信息内容，其次，将其整合到NDS中。专科医疗、初级医疗保健和社会服务领域的社会和医疗专业人员焦点小组（n = 82）定义了信息内容，并参与了反馈和检查环节。开发工作应继续进行。应特别关注NDS中出院检查表的技术性能。
