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This nursing interactive system, based on hospital information system, minimizes manual repetitions of nurses and their cross-space communication problems. It provides an accurate and intuitive information display and communication channel for clinical nursing care, which can also provide a preliminary evaluation of its application effects. On such basis, the authors propose that building such a system is a necessity in nursing informationization, as it elevates nursing efficiency, scientific management and patient safety.
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Objective Through the design and application of the closed-loop drainage system,the whole process data is extracted from the clinical nursing information system,and the data tracking and quality management of the whole process node are carried out.Methods From October 2015 to February 2017,during the clinical application,the total number of drainage tube closed-loop data was 117 625,the whole process from the drainage tube placement to extubation could be traced,unified the name of drainage tube,statistics days by artificial to information,saved the time of nursing staff,improved the accuracy of channel statistics.The WeChat questionnaire was designed to investigate the satisfaction of nurses on the closed-loop executive system of drainage tube by using the Likert five scale.Results After improvement,saved the time for nursing staff,nurses from the original manual statistics,per capita spent 10 minutes a day to now the computer automatically crawl.After the implementation,nurses thought that the drainage tube assessment more effective overall satisfaction for(4.32±0.99)points;unplanned extubation of patients reporting process more convenient overall satisfaction for(4.22±0.80)points;application of the system more simple and more effective management overall satisfaction respectively for(4.35±0.73),(4.35±0.74)points.The transfer time was(7.85±5.10)minutes before the implementation and(4.53±3.98)min after the implementation,there was significant difference(t=5.68,P＜0.05).The color of drainage tube number was 309.3±204.8,the number of characters was 3020±1 097.Conclusions The establishment and development of drainage tube closed-loop execution system provide a reliable factual basis for clinical medical diagnosis decision;at the same time,the clinical term in classified,the description of the color and character of the drainage-tube has tended to be centralized and unified;improve the work efficiency and patient safety;the quality management system based on process management is generally effective.
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Objective To establish and apply the statistical information system of patient satisfaction, improve statistical work practice of patient satisfaction. Methods Developed the patient satisfaction research statistic information system which was generated by authority, security settings, the correction and collection of the patient questionnaire, multi-dimension statistics and a copy of data and statistics form through the content and data demand of nursing job satisfaction questionnaire. The system would count up the satisfaction from the whole hospital, every department, every dimension and every item as well as the unsatisfaction item and developed the statistic comparison chart automatically. Results After the formal operation for 6 months, the input time data of patient satisfaction statistic information system decreased from 2.0 days to 0.5 days, the statistic time decreased from 2.0 days to 0.5 days, which saved 6 statistic workers and 3 computers. Conclusions The patient satisfaction statistic information system improves the efficiency and accuracy of data collection dramatically, avoid the waste of human and material resources, achieve the function that data can develop the charts automatically and multi-dimension statistic, which provide the data support for the nursery management work.
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Objective To analyze the trend of nursing information system(Nursing Information System,NIS) and contemporary situation,so as to provide a reference for the further development of NIS in China.Methods Based on China Academic Journal Network Publishing Database,Wanfang database and VIP Chinese academic periodical database,retrieval published NIS literature from 2009 to 2013 in China.Seven aspects were analyzed:time,areal distribution,cooperative rate,authors,institutions,periodicals and keywords.Results There were 438 articles from 128 published journals,47.9％ papers were in the statistical source journals.Research content mainly involved clinical nursing and nursing management.Conclusions NIS research has achieved great development in the past 5 years,but the researches should be strengthened in breadth and depth.
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OBJECTIVE: User satisfaction of nursing information system and its user interface were measured in the S general hospital which new electronic medical record system had been introduced to. The new system had been developed based on nursing job's analysis. METHODS: 487 nurses who were working in the S hospital joined to survey through QUIS (Questionnaire for User Interface Satisfaction) about satisfaction of system they used. There were 4 categories-convenience, rapid response, content/configuration, accuracy of information. Those 4 categories were used analytical factors to know how the users were satisfied with its interface and function through the selected 13 system interfaces. RESULTS: With 9 scales of satisfaction score, we measured the satisfaction that the hardware provided. Terminology and system information got the highest score, and user friendly interface, easiness of learning, system performance in high score order. As like as above, we defined 5 scales of user interface satisfaction score. Content, configuration, information accuracy, convenience, rapid responses were identified as analytic categories. With interface satisfaction aspect, the pages which were reconfigured from physician order page to nurse interface got the highest score. And content and page configuration were acknowledged as the highest place. CONCLUSION: This study showed the nurses were satisfied with nursing information system. Also the trend of system development can be revealed.
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Electronic Health Records , Hospitals, General , Information Systems , Learning , Nursing , Weights and MeasuresABSTRACT
The purposes of this study were to identify the effects of the Nursing Information System on time of the direct and indirect nursing activities, the frequencies of verbal and telephone order, the number of cases and patient's treatments fees before and after NIS. 10 nursing units in the S.N.U.H. were se lected. The data were colle cted for 6 month prior and pa st to NIS. The frequencies of verbal and telephone order were reported from staff nurses for 3 days. The numbers of cases and fees of patient's treatments were taken for 3 month before and after NIS. The results of this study were as follows: 1. 66.9% of participants said direct nursing activities were increased. Any changed nursing performances were patients education, nursing rounds, care of patient's hygiene, care for patient's movements, oral and tracheal suctioning, changing position, and feeding. 2. The difference of amount of time of dir ect and indirect nursing activities 1)There was 14 minutes increase indirect,4 minutes decrease in indirect. 2)NA's activities we re increased by 30minute in direct, decreased by 16 minute in indirect. 3. The frequency of telephone order decreased 16 and verbal order decreased 46 per day. 4. The difference of the number of patient treatment case before and after NIS was increased 9,907 per 3 months and of fees for patient treatment was increased 797,811,067 won per 3 months.
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Humans , Education, Nursing , Fees and Charges , Hygiene , Information Systems , Nursing , Suction , TelephoneABSTRACT
The nursing process, composed of diagnosis, intervention and outcome, is practical and scientific approach. In addition, many studies on the nursing process have been performed. However, the nursing process has not applied to clinical fields. Therefore, we developed a nursing information system that supports nurses nursing diagnosis and intervention management. This system provides expected nursing diagnoses and interventions for subjective patients automatically so that nurses can make more accurate diagnoses and perform more adequate interventions. For that purpose, we have analyzed the relations of medical diagnoses and standardized nursing classifications and developed the outputs into a database system. In this study, we performed clinical tests for the system and verify the usefulness of the system with case database accumulated through the tests. We expect the system can be used in many hospitals efficiently after some upgrade based on the results of this study is completed.
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Humans , Classification , Diagnosis , Information Systems , Nursing Diagnosis , Nursing Process , NursingABSTRACT
This study was done to identify the effectiveness of applying a "Nursing Process Program" to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows; 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a "Nursing Process Program" to clinical practice were, on five point scales, 4.07 and 4.21 respectively . 2. There were no significant differences in the mean scores for subjects' attitudes toward computers and computer anxiety between before and after using a "Nursing Process Program". 3. The total case study frequency using a "Nursing Process Program" was 68, and "Risk for infection" was the most frequent nursing diagnosis.
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Humans , Anxiety , Data Collection , Internet , Microcomputers , Nursing Diagnosis , Nursing Process , Nursing , Weights and Measures , Word ProcessingABSTRACT
The purpose of this study was to construct an effective point of care computer system (PCCS) to improve bedside nursing care and integrate it into a nursing information system. The study was based on the System Development Life Cycle. We preliminarily investigated user demands of a Nursing information system (NIS) and then proceeded on to the PCCS Design and Development. At the analysis stage, the nursing units of four general hospitals in the Seoul and the Kyongin areas were compared with G hospital. Sub-programs of the PCCS were customized for G hospital's system. At the PCCS Design stage, a nursing information flowchart was constructed and contents to be used by each PCCS sub-program were selected. At the PCCS Development stage, PCCS sub-programs were developed using the Visual Basic. Fifty-three nurses of six nursing units who used PCCS (on a wireless notebook computer) responded to the questionnaire 3 months after they started using the system. The results of the evaluation were positive. It is believed that this study helped to improve patient service and the efficiency of nursing units in providing bedside nursing care.
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Humans , Computer Systems , Hospitals, General , Information Systems , Life Cycle Stages , Nursing Care , Nursing , Surveys and Questionnaires , Seoul , Software DesignABSTRACT
In this study, we developed MobileNurseTM; a prototype of mobile nursing information system using PDA. MobileNurseTM is designed to communicate with hospital information system(HIS) via mobile support station(MSS) which interchanges and stores clinical data. MobileNurseTM consists of 3 components. The first component is medical order checking module. It enables nurses to retrieve patients' information such as physicians' orders and test results at anywhere or anytime. The second component is nursing recording module which helps nurses to record the results of their practices at bedside. On the autosynchronization of MSS and PDA, the data in PDA and MSS can be interchanged and updated respectively. The last component is nursing unit care planing module. It is helpful for retrieving the nursing care plans of patients that are expected to be done, such as patients' discharge, consultation, or transfer. With use of PDA in clinical environment, nurses can spend more time on caring for patients by reducing time-consuming, redundant paperwork. It is promising that this 'point-of-care system enables nurses to improve the quality of nursing care.
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Humans , Information Systems , Nursing Care , Nursing Records , Nursing , Patient Care PlanningABSTRACT
In the complexity and diversity of modem society, there is an urgent need for an information system which can systematically collect, manage and analyze data. Especially in the discipline of Nursing, a nursing information system is necessary to maximize nursing resources and improve nursing care in the present system which is faced with increases in client needs and multiple changes in recent hospital environment. This research was done to provide a basis for the development of nursing information system, which was extracted from an analysis of the demand of nurses and other medicine staffs in the general wards excluding the special unit(ER, OR, CSR, etc.). The ward nursing information system was analysed through analysis of nursing practice related to recordings, such as the work book, work list, kardex, other nursing practice recording on 24 wards, and open questionnaire of 288 nurses. Through this process, only four subsystems of output material for nursing practice were described in this study; (1) order communication system in nursing, (2) ward management system in nursing, (3) census reporting system in nursing, (4) materials management system.
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Censuses , Information Systems , Modems , Nursing Care , Nursing , Patients' Rooms , Surveys and QuestionnairesABSTRACT
Objective To supervise the execution process of medical orders,prevent and avoid malpraxis,improve the security of the nursing action.Methods On the demand of preventing and reducing malpraxis,the system structure and software design were implemented based on RFID and wireless technology.Results The functions of real-time examining and affirming were achieved in every step of medical orders,including unique identification for the patient identification,medicine and blood bag,etc.Conclusion The system can be ensured the security of patients,improved the quality of medical care,reduced the malpraxises and made great contribution for medical care.