Addressing the Unique Needs of an Electronic Health Record in a Neonatal Intensive Care Unit

Documentation in an electronic health record (EHR) should match the nurse workflow for unique patient populations and their correlated units, but pros and cons exist with such EHR customization. Integration of our NICU EHR with other units was a complex process that required nurses to customize each...

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Veröffentlicht in:	Journal of obstetric, gynecologic, and neonatal nursing gynecologic, and neonatal nursing, 2017-03, Vol.46 (2), p.304-309
Hauptverfasser:	Shade, Carol, Kelly, Karen, Hofmann, Karen
Format:	Artikel
Sprache:	eng
Schlagworte:	clinical documentation Documentation - methods Documentation - standards EHR electronic health record Electronic Health Records - standards Health Services Needs and Demand Humans Infant, Newborn Intensive Care Units, Neonatal - organization & administration neonatal neonatal intensive care unit Neonatal Nursing - methods Neonatal Nursing - organization & administration Neonatal Nursing - standards Nursing nursing informatics Nursing Informatics - methods Workflow
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Beschreibung
Zusammenfassung:	Documentation in an electronic health record (EHR) should match the nurse workflow for unique patient populations and their correlated units, but pros and cons exist with such EHR customization. Integration of our NICU EHR with other units was a complex process that required nurses to customize each patient record because neonates have specific care needs. We present concepts related to EHR customization that are applicable to any unit with a unique patient population.
ISSN:	0884-2175 1552-6909
DOI:	10.1016/j.jogn.2016.08.013