Improving clinical documentation: introduction of electronic health records in paediatrics
نویسندگان
چکیده
منابع مشابه
Electronic Health Records Documentation in Nursing
A descriptive study of 100 nursing personnel at a large Magnet hospital in Southwest Florida was conducted to assess their needs, preferences, and perceptions associated with Electronic Health Record (EHR) documentation methods. Nurses' attitudes about the use of EHRs and their perceived effects on patient care were assessed. The five-item, Likert-type attitude scale explained 54% of the varian...
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Background: A whole-person representation captures not only patient problems but also patient strengths. To better understand and inform practice of person-centered care and documentation using a whole-person representation, a critical review of literature was conducted of the current state of patient problems and strengths documentation in electronic health records. Methods: The informatics mo...
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This paper aims to solve a recently arose problem, related to the access to the Electronic Health Records (EHR) in the Hospitals. Due to the digitalization of the information contained in the medical records, and the growing availability of devices that directly generate digital documents to include in it, the EHR are becoming unmanageable. Even more, to find a concrete item of information rele...
متن کاملImproving documentation of quality measures in the electronic health record.
PURPOSE Oncology quality measures provide an important tool to evaluate care received by cancer patients. These measures are frequently addressed by oncology nurse practitioners (NPs). NP documentation of quality oncology practice initiative (QOPI) measures in the electronic health record (EHR) is evaluated in this study. DATA SOURCES NP documentation of specific QOPI measures before and afte...
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A computerized clinical database is a collection of organized clinical data, created to store, retrieve, analyze, and report meaningful information (McCartney & Barnes, 2012). In today’s datadriven healthcare system, effi cient access to clinical database information is necessary for decisionmaking, managing care, conducting research, performance improvement, and reporting. Three general types ...
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ژورنال
عنوان ژورنال: BMJ Open Quality
سال: 2021
ISSN: 2399-6641
DOI: 10.1136/bmjoq-2020-000918