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在护士主导的护理中实施临床信息系统。

Implementation of a clinical information system in nurse-managed care.

作者信息

Marek K D, Jenkins M, Westra B L, McGinley A

机构信息

University of Pennsylvania School of Nursing, Philadelphia, USA.

出版信息

Can J Nurs Res. 1998 Spring;30(1):37-44.

PMID:9726181
Abstract

The Penn Nursing Network Information System Project is a collaborative effort of practitioners, academic researchers, and a health-care software developer. The Penn Nursing Network, a group of nurse-managed practices owned and operated by the University of Pennsylvania School of Nursing, has taken a leadership role in the project. PNN is developing an information system specific to the needs of nurse-managed care and creating a data warehouse for nursing centres in the Philadelphia region. Important components of this project include the identification of key data elements to represent the problems treated, interventions performed, and outcomes sensitive to the nursing care provided. The Omaha System provided a useful framework for capturing the necessary data elements. However, additional data were needed. In addition, attention was paid to the development of a software program that would complement the workflow of the practitioner while capturing data efficiently. The main goal of the project is development of a longitudinal database reflective of clinical practice, to be used for both research and evaluation.

摘要

宾夕法尼亚护理网络信息系统项目是从业者、学术研究人员和一家医疗保健软件开发公司的合作成果。宾夕法尼亚护理网络是由宾夕法尼亚大学护理学院拥有并运营的一组由护士管理的医疗机构,在该项目中发挥了领导作用。宾夕法尼亚护理网络正在开发一个满足护士管理式护理需求的信息系统,并为费城地区的护理中心创建一个数据仓库。该项目的重要组成部分包括确定关键数据元素,以代表所治疗的问题、实施的干预措施以及对所提供护理敏感的结果。奥马哈系统为获取必要的数据元素提供了一个有用的框架。然而,还需要额外的数据。此外,还关注开发一个软件程序,该程序在高效收集数据的同时,能够补充从业者的工作流程。该项目的主要目标是开发一个反映临床实践的纵向数据库,用于研究和评估。

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