Author Affiliations : College of Medicine, University of Nebraska Medical Center, Omaha (Dr Geary); Center for Nursing Research and Practice, Advocate Aurora Health, Downers Grove, IL (Dr Hook); Sinclair School of Nursing, University of Missouri, Columbia (Dr Popejoy); School of Nursing, University at Buffalo, NY (Dr Hewner and Mss Smith and Pasek); Logica, Inc., Salt Lake City, UT (Dr Heerman Langford); and College of Nursing, University of Utah, Salt Lake City (Dr Heerman Langford).
Comput Inform Nurs. 2024 Jan 1;42(1):63-70. doi: 10.1097/CIN.0000000000001069.
Care coordination is a crucial component of healthcare systems. However, little is known about data needs and uses in ambulatory care coordination practice. Therefore, the purpose of this study was to identify information gathered and used to support care coordination in ambulatory settings. Survey respondents (33) provided their demographics and practice patterns, including use of electronic health records, as well as data gathered and used. Most of the respondents were nurses, and they described varying practice settings and patterns. Although most described at least partial use of electronic health records, two respondents described paper documentation systems. More than 25% of respondents gathered and used most of the 72 data elements, with collection and use often occurring in multiple locations and contexts. This early study demonstrates significant heterogeneity in ambulatory care coordination data usage. Additional research is necessary to identify common data elements to support knowledge development in the context of a learning health system.
护理协调是医疗保健系统的一个重要组成部分。然而，关于在门诊护理协调实践中所需数据和使用数据的情况知之甚少。因此，本研究的目的是确定用于支持门诊环境中护理协调的信息收集和使用情况。调查对象（33 人）提供了他们的人口统计学和实践模式，包括电子健康记录的使用情况，以及所收集和使用的数据。大多数受访者是护士，他们描述了不同的实践环境和模式。尽管大多数人描述了至少部分电子健康记录的使用，但有两名受访者描述了纸质文件系统。超过 25%的受访者收集和使用了 72 个数据元素中的大部分，并且收集和使用通常发生在多个地点和环境中。这项早期研究表明，门诊护理协调数据使用存在显著的异质性。需要进一步的研究来确定支持学习型医疗保健系统背景下知识发展的通用数据元素。
