Simpson R L
Nursing Affairs, HBO & Company, Atlanta, Georgia, USA.
Nurs Adm Q. 1998 Summer;22(4):88-90. doi: 10.1097/00006216-199802240-00025.
If the total quality organization is the structure of the 1990s, then the structure of the new millennium is the world class organization--and information technology (IT) is the foundation upon which it will be built. This article explores how clinical information systems and IT are evolving to support several unique characteristics of the world class organization, including (1) how patient-centered care and the advent of the interdisciplinary care team has led to the development of a new breed of clinical information systems; (2) how accountability has empowered nursing and led, in turn, to a need for systems and languages to measure and document nursing care and its outcomes; and (3) how care across the continuum and rapid, constant change demands open systems that are scalable and interoperable.
如果说全面质量管理组织是20世纪90年代的架构，那么新千年的架构就是世界级组织——而信息技术（IT）则是构建该组织的基础。本文探讨临床信息系统和IT如何不断发展，以支持世界级组织的几个独特特征，包括：（1）以患者为中心的护理以及跨学科护理团队的出现如何推动了新型临床信息系统的发展；（2）问责制如何赋予护理工作权力，进而导致需要系统和语言来衡量和记录护理工作及其成果；以及（3）连续护理和快速、持续的变化如何要求具备可扩展和可互操作的开放系统。
