Availability of nursing data in an electronic nursing record system for a development of a risk assessment tool for pressure ulcers / 대한의료정보학회지
Journal of Korean Society of Medical Informatics
;
: 161-168, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-218307
ABSTRACT
OBJECTIVES:
This study explored the reuse of data captured by nurses to support nursing decisions related to pressure-ulcer care.METHODS:
To examine the existence of coded data in an electronic nursing record system for the identified concepts, we used the electronic nursing documents of a teaching hospital in Gyeonggi-Do, in Korea. A surgical intensive care unit (SICU) was selected as the test unit due to the high incidence of pressure ulcers. The concepts were identified from literature review and refined through the involvement of staff nurses.RESULTS:
We found that 93.4% of the necessary concepts were matched semantically with data items at the input level of the electronic medical record system. Eighteen concepts (60%) were directly matched with the data variables of structured electronic nursing records. Five concepts (16.7%) were matched into more than two items. Including the standard nursing statements coded in Nurses' notes, five concepts were mapped more.CONCLUSIONS:
More than 90% of the concepts were matched successfully, which suggests that the secondary use of the routine data collected in an EMR system could be used to develop an automated risk assessment tool for pressure ulcers.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Dossiers de soins infirmiers
/
Incidence
/
Systèmes informatisés de dossiers médicaux
/
Appréciation des risques
/
Soins de réanimation
/
Escarre
/
Électronique
/
Électrons
/
Dossiers médicaux électroniques
/
Hôpitaux d'enseignement
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude pronostique
/
Facteurs de risque
Pays comme sujet:
Asie
langue:
Coréen
Texte intégral:
Journal of Korean Society of Medical Informatics
Année:
2008
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS