The aim was to analyze the importance of nursing audit in review hospital accounts health care service providers supplementary health. Integrative with a qualitative approach, conducted online databases Scientific Electronic Library Online, Latin American and Caribbean Literature Health Sciences Nursing Database. Sixteen articles were selected that matched inclusion criteria, addition 02 resolu...

PURPOSE/OBJECTIVES To evaluate the implementation of a domestic violence screening protocol in an oncology clinic. DESIGN A retrospective review of a random sample of clinic medical records and qualitative surveys of nursing staff. SETTING A gynecologic oncology clinic in a large teaching hospital. SAMPLE 204 charts were abstracted and six oncology nurses completed surveys. METHODS A ra...

OBJECTIVE To estimate the proportion of children hospitalized for acute asthma exacerbation who might be cared for successfully in alternative settings such as short-stay units or in-home nursing. DESIGN Descriptive study based on analysis of hospital discharge files and on retrospective medical record review of a random sample of asthma hospitalizations. METHODS The 2028 asthma hospitaliza...

Recording nursing reports is considered as a quality assurance tool for patients and nurses. Nowadays, the presence of electronic health record systems is an indicator of development. Studies on advantages and disadvantages of the electronic and manual recording methods have shown different results. In this study, electronic and manual recording of nursing reports were compared from the perspec...

In 2007, the Department of Veterans Affairs (VA) established the VA Nursing Academy (VANA), a 5-year, $60-million pilot program funding 15 partnerships between schools of nursing and local VA health care facilities nationwide, to expand nursing faculty, enhance clinical faculty development, increase nursing student enrollment, and promote educational innovations. VA is an ideal setting for educ...

We have done the development of the Electronic Medical Record System. I have done the construction of the data base by XML, for the purpose of that does information interchange especially. We need the standardization of the record is necessary for information interchange. The correspondence to the tag of XML was a subject in the record of SOAP. Thereupon, it made to construct the support system...

The purpose of this study was to explore the perceptions of senior undergraduate nursing students and perceptions of home care clients regarding the use of a new electronic health record and its impact on client care and communication. Findings indicate that providing students with the opportunity and time to become familiar with the use of computers during client care in the educational enviro...

Clinical decision support systems (CDSSs) are believed to have the potential to improve care and change the behavior of health personnel. The project has focused on developing a CDSS to support prevention of pressure ulcer and undernutrition that is completely integrated in the electronic health record in nursing homes. Nursing staff have been involved in all phases in the development of the CD...

therapeutic agents. The worksheet was not intended to be part of the patient’s medical record. The worksheet addresses several critical areas of chemotherapy administration including calculation of body surface area, protocol information, laboratory and other tests required, major potential side effects, administration (facilitating cross-checking with preceptor or another nurse), and documenta...