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The patient problem/nursing diagnosis form: a computer-generated chart document.

作者信息

Prophet C M

机构信息

Department of Nursing, University of Iowa Hospitals & Clinics, Iowa City 52242.

出版信息

Proc Annu Symp Comput Appl Med Care. 1993:326-30.

PMID:8130489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2248527/
Abstract

The INFORMM (Information Network for Online Retrieval & Medical Management) patient problem/nursing diagnosis form is a computer-generated, patient record document of information related to identified patient conditions and patient outcomes. These patient and nursing data, accessible online as well as in paper copy, enhance continuity of care by providing, to all authorized clinicians, a list and history of identified patient problems/nursing diagnoses and the patient's status in terms of the achievement of projected patient outcomes. This cumulative, patient-centered documentation facilitates patient care effectiveness and provides mechanisms to capture and retrieve patient and outcome data for quality improvement and research purposes.

摘要

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引用本文的文献

1
On-line documentation of patient care orders.患者护理医嘱的在线记录。
Proc Annu Symp Comput Appl Med Care. 1995:464-8.

本文引用的文献

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Patient-centered care delivery and the role of information systems.以患者为中心的护理服务及信息系统的作用。
Comput Healthc. 1992 Feb;13(2):44-6.
2
Effectiveness in health care. An initiative to evaluate and improve medical practice.医疗保健中的有效性。一项评估和改进医疗实践的倡议。
N Engl J Med. 1988 Nov 3;319(18):1197-202. doi: 10.1056/NEJM198811033191805.
3
Effects of computers on nursing resource use. Do computers save nurses time?
Comput Nurs. 1990 Jan-Feb;8(1):16-22.
4
A framework for the transition from nursing records to a nursing information system.从护理记录到护理信息系统的过渡框架。
Nurs Outlook. 1992 Jul-Aug;40(4):177-81.
5
Patient discharge referral: interdisciplinary collaboration.患者出院转诊:跨学科协作。
Proc Annu Symp Comput Appl Med Care. 1992:332-6.