Implementation of a Next-Generation Electronic Nursing Records System Based on Detailed Clinical Models and Integration of Clinical Practice Guidelines / 대한의료정보학회지
Healthcare Informatics Research
;
: 301-306, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-11264
ABSTRACT
OBJECTIVES:
The purpose of this paper is to describe the components of a next-generation electronic nursing records system ensuring full semantic interoperability and integrating evidence into the nursing records system.METHODS:
A next-generation electronic nursing records system based on detailed clinical models and clinical practice guidelines was developed at Seoul National University Bundang Hospital in 2013. This system has two components, a terminology server and a nursing documentation system.RESULTS:
The terminology server manages nursing narratives generated from entity-attribute-value triplets of detailed clinical models using a natural language generation system. The nursing documentation system provides nurses with a set of nursing narratives arranged around the recommendations extracted from clinical practice guidelines.CONCLUSIONS:
An electronic nursing records system based on detailed clinical models and clinical practice guidelines was successfully implemented in a hospital in Korea. The next-generation electronic nursing records system can support nursing practice and nursing documentation, which in turn will improve data quality.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Semántica
/
Trillizos
/
Registros de Enfermería
/
Sistemas de Registros Médicos Computarizados
/
Enfermería
/
Práctica Clínica Basada en la Evidencia
/
Seúl
/
Exactitud de los Datos
/
Corea (Geográfico)
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Healthcare Informatics Research
Año:
2013
Tipo del documento:
Artículo
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