Prophet C M, Delaney C W
Department of Nursing and Patient Care Services, University of Iowa Hospitals & Clinics, Iowa City, USA.
J Nurs Care Qual. 1998 Jun;12(5):21-9. doi: 10.1097/00001786-199806000-00006.
Quality improvement, measurement, and accountability pervade all health care, including the agendas of nursing, other care providers, and consumer groups. One new face of quality is unequivocal: data will be more equitably shared among all groups for data-based quality judgments. This will emphasize quality more than cost with greater involvement of the citizens compared to health care providers, payers, and health care product suppliers. Emphasis on quality will allow patients to have a voice heard and amplified through the implementation of patient-centered outcomes in the computerized patient care record. This article describes the implications of the Nursing Outcomes Classification (NOC) for nursing information systems and the computer-based patient record.
质量改进、衡量与问责贯穿于所有医疗保健领域,包括护理、其他医疗服务提供者以及消费者群体的议程。质量的一个新面貌是明确无疑的:为基于数据的质量判断,数据将在所有群体之间更公平地共享。与医疗服务提供者、支付方和医疗保健产品供应商相比,随着公民更多地参与,这将更强调质量而非成本。对质量的强调将使患者能够通过在计算机化患者护理记录中实施以患者为中心的结果,让自己的声音被听到并得到放大。本文描述了护理结果分类(NOC)对护理信息系统和基于计算机的患者记录的影响。