Developing a module for nursing documentation integrated in the electronic patient record

Norway's regional teaching hospitals are working together on a project to develop an interdisciplinary electronic patient record (EPR). This paper presents the results of a project to develop nursing documentation as part of an integrated EPR to improve the quality and continuity of patient car...

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Veröffentlicht in:Journal of clinical nursing 2001-11, Vol.10 (6), p.799-805
Hauptverfasser: HELLESØ, R, RULAND, C. M
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container_title Journal of clinical nursing
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creator HELLESØ, R
RULAND, C. M
description Norway's regional teaching hospitals are working together on a project to develop an interdisciplinary electronic patient record (EPR). This paper presents the results of a project to develop nursing documentation as part of an integrated EPR to improve the quality and continuity of patient care. The project used a consensus process as a working norm. The most important result is that the five hospitals have agreed on a framework for nursing documentation, and on the main components that need to be implemented in the electronic patient record.
doi_str_mv 10.1046/j.1365-2702.2001.00557.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Biological and medical sciences
Computer User Training
Computerized management (medical records, files, hospital management)
Computerized medical records
Computerized, statistical medical data processing and models in biomedicine
Continuity of Patient Care - organization & administration
Cooperative Behavior
Documentation
Education, Nursing, Continuing
Guidelines as Topic
Hospital Information Systems - organization & administration
Hospital Shared Services - organization & administration
Hospitals, Teaching - organization & administration
Humans
Inservice Training
Interinstitutional Relations
Medical Records Systems, Computerized - organization & administration
Medical sciences
Norway
Nurses
Nursing
Nursing Records
Patient Care Team - organization & administration
Program Development
Program Evaluation
Software
Total Quality Management - organization & administration
title Developing a module for nursing documentation integrated in the electronic patient record
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