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.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Semântica
/
Trigêmeos
/
Registros de Enfermagem
/
Sistemas Computadorizados de Registros Médicos
/
Enfermagem
/
Prática Clínica Baseada em Evidências
/
Seul
/
Confiabilidade dos Dados
/
Coreia (Geográfico)
Tipo de estudo:
Guia de Prática Clínica
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Healthcare Informatics Research
Ano de publicação:
2013
Tipo de documento:
Artigo
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