信息学：护理质量评估与改进的重要基础设施。
Informatics: essential infrastructure for quality assessment and improvement in nursing.
作者信息
Henry S B
机构信息
School of Nursing, University of California, San Francisco 94143-0608, USA.
出版信息
J Am Med Inform Assoc. 1995 May-Jun;2(3):169-82. doi: 10.1136/jamia.1995.95338870.
Abstract
In recent decades there have been major advances in the creation and implementation of information technologies and in the development of measures of health care quality. The premise of this article is that informatics provides essential infrastructure for quality assessment and improvement in nursing. In this context, the term quality assessment and improvement comprises both short-term processes such as continuous quality improvement (CQI) and long-term outcomes management. This premise is supported by 1) presentation of a historical perspective on quality assessment and improvement; 2) delineation of the types of data required for quality assessment and improvement; and 3) description of the current and potential uses of information technology in the acquisition, storage, transformation, and presentation of quality data, information, and knowledge.
摘要
近几十年来，信息技术的创建与应用以及医疗保健质量衡量标准的制定都取得了重大进展。本文的前提是，信息学为护理质量评估与改进提供了重要的基础设施。在此背景下，质量评估与改进这一术语涵盖了诸如持续质量改进（CQI）等短期流程以及长期结果管理。这一前提得到以下几点支持：1）对质量评估与改进的历史视角进行阐述；2）明确质量评估与改进所需的数据类型；3）描述信息技术在质量数据、信息和知识的获取、存储、转换及呈现方面的当前及潜在用途。
相似文献
1
Informatics: essential infrastructure for quality assessment and improvement in nursing.信息学：护理质量评估与改进的重要基础设施。
J Am Med Inform Assoc. 1995 May-Jun;2(3):169-82. doi: 10.1136/jamia.1995.95338870.
2
Information technology applications in quality assurance and quality improvement, Part I.信息技术在质量保证与质量改进中的应用，第一部分
Jt Comm J Qual Improv. 1993 Sep;19(9):403-15. doi: 10.1016/s1070-3241(16)30024-4.
3
Coordinated computerized systems aimed at management, control, and quality assurance of medical processes and informatics.旨在实现医疗流程和信息学的管理、控制及质量保证的协调计算机系统。
Int J Health Care Qual Assur. 2012;25(8):663-81. doi: 10.1108/09526861211270622.
4
[Telematics and quality. Implementation of a telematic platform in Hamburg].[远程信息处理与质量。汉堡远程信息处理平台的实施]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2005 Jul;48(7):761-70. doi: 10.1007/s00103-005-1078-6.
5
Measurement and standards in continuous quality improvement.持续质量改进中的测量与标准
ANA Publ. 1992 Jun(NP-80 7.5 M):75-93.
6
Seton's Nursing Dashboard project--driving nursing quality through data sharing.西顿护理仪表盘项目——通过数据共享提升护理质量。
Tex Nurs. 2002 Sep;76(8):8-11.
7
Infrastructure for improvement.用于改进的基础设施。
Healthc Inform. 2011 Oct;28(10):22-3, 26, 44.
8
Informatics: the infrastructure for quality assessment and quality improvement in nursing.信息学：护理质量评估与质量改进的基础设施。
J Am Med Inform Assoc. 1995 May-Jun;2(3):198-9. doi: 10.1136/jamia.1995.95338874.
9
Three decades of research on computer applications in health care: medical informatics support at the Agency for Healthcare Research and Quality.三十年医疗保健领域计算机应用研究：医疗保健研究与质量局的医学信息学支持
J Am Med Inform Assoc. 2002 Mar-Apr;9(2):144-60. doi: 10.1197/jamia.m0867.
10
[Virtual slides for routine diagnosis. The importance of using the HL7 (Health Level 7) and DICOM (Digital Imaging and Communication in Medicine) informatics standards].[用于常规诊断的虚拟切片。使用HL7（健康水平7）和DICOM（医学数字成像和通信）信息学标准的重要性]
Ann Pathol. 2008 Nov;28 Spec No 1(1):S109-12. doi: 10.1016/j.annpat.2008.09.037. Epub 2008 Oct 16.
引用本文的文献
1
Advancing a learning health system through biomedical and health informatics.通过生物医学和健康信息学推动学习型健康系统的发展。
J Am Med Inform Assoc. 2025 Jan 1;32(1):1-2. doi: 10.1093/jamia/ocae307.
2
Celebrating Suzanne Bakken, 2023 Morris F. Collen Award winner and pioneer in health equity.祝贺苏珊娜·巴肯，2023年莫里斯·F·科伦奖获得者及健康公平领域的先驱。
J Am Med Inform Assoc. 2023 Oct 19;30(11):1760-1761. doi: 10.1093/jamia/ocad189.
3
Patient safety and quality of care: a key focus for clinical informatics.患者安全与医疗质量：临床信息学的关键重点。
J Am Med Inform Assoc. 2021 Jul 30;28(8):1603-1604. doi: 10.1093/jamia/ocab141.
4
A nursing informatics research agenda for 2008-18: contextual influences and key components.2008 - 2018年护理信息学研究议程：背景影响与关键要素
Nurs Outlook. 2008 Sep-Oct;56(5):206-214.e3. doi: 10.1016/j.outlook.2008.06.007.
5
Computerized clinical documentation system in the pediatric intensive care unit.儿科重症监护病房的计算机化临床文档系统。
BMC Med Inform Decis Mak. 2001;1:3. doi: 10.1186/1472-6947-1-3. Epub 2001 Sep 17.
6
Data collection and information presentation for optimal decision making by clinical managers--the Autocontrol Project.临床管理者进行最佳决策的数据收集与信息呈现——自控项目
Proc AMIA Annu Fall Symp. 1997:789-93.
7
8
Nursing classification systems: necessary but not sufficient for representing "what nurses do" for inclusion in computer-based patient record systems.护理分类系统：对于将“护士的工作”纳入基于计算机的患者记录系统而言是必要的，但并不充分。
J Am Med Inform Assoc. 1997 May-Jun;4(3):222-32. doi: 10.1136/jamia.1997.0040222.
9
Informatics: the infrastructure for quality assessment and quality improvement in nursing.信息学：护理质量评估与质量改进的基础设施。
J Am Med Inform Assoc. 1995 May-Jun;2(3):198-9. doi: 10.1136/jamia.1995.95338874.
10
Informatics: the infrastructure for quality assessment and quality improvement.信息学：质量评估与质量改进的基础设施。
J Am Med Inform Assoc. 1995 Jul-Aug;2(4):267-8. doi: 10.1136/jamia.1995.96010396.
本文引用的文献
1
Risk adjusting health care outcomes: a methodologic review.风险调整医疗保健结果：方法学综述。
Med Care Rev. 1986 Fall;43(2):351-93. doi: 10.1177/107755878604300205.
2
The classification of home health care nursing diagnoses and interventions.家庭健康护理诊断与干预的分类
Caring. 1992 Mar;11(3):50-7.
3
Digital electronic communication between ICU ventilators and computers and printers.重症监护病房（ICU）呼吸机与计算机及打印机之间的数字电子通信。
Respir Care. 1992 Sep;37(9):1113-23.
4
Innovation review: Iliad--a medical diagnostic support program.创新综述：伊利亚德——一个医学诊断支持程序。
Top Health Inf Manage. 1994 May;14(4):51-8.
5
Home health care classification.家庭医疗保健分类。
Caring. 1992 May;11(5):58-60.
6
The HIV quality audit marker (HIV-QAM): an outcome measure for hospitalized AIDS patients.艾滋病病毒质量审核指标（HIV-QAM）：住院艾滋病患者的一项结局指标。
Qual Life Res. 1993 Apr;2(2):99-107. doi: 10.1007/BF00435729.
7
Clinical nursing informatics. Developing tools for knowledge workers.临床护理信息学。为知识工作者开发工具。
Nurs Clin North Am. 1993 Jun;28(2):407-25.
8
Variations in mortality and length of stay in intensive care units.重症监护病房死亡率和住院时间的差异。
Ann Intern Med. 1993 May 15;118(10):753-61. doi: 10.7326/0003-4819-118-10-199305150-00001.
9
Getting to go in managed care.进入管理式医疗领域。
Health Care Manage Rev. 1993 Winter;18(1):7-19.
10
The Unified Medical Language System.统一医学语言系统
Methods Inf Med. 1993 Aug;32(4):281-91. doi: 10.1055/s-0038-1634945.
Zotero 插件