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Specialty: Nursing
Management: Electronic Health Records (EHR)

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Total 10 results found since Jan 2013.

Nursing Diagnosis Accuracy in Nursing Education: Clinical Decision Support System Compared With Paper-Based Documentation-A Before and After Study
Comput Inform Nurs. 2023 Aug 15. doi: 10.1097/CIN.0000000000001066. Online ahead of print.ABSTRACTComputer-based technologies have been widely used in nursing education, although the best educational modality to improve documentation and nursing diagnostic accuracy using electronic health records is still under investigation. It is important to address this gap and seek an effective way to address increased accuracy around nursing diagnoses identification. Nursing diagnoses are judgments that represent a synthesis of data collected by the nurse and used to guide interventions and to achieve desirable patients' outcomes. Th...
Source: Computers, Informatics, Nursing : CIN - August 14, 2023 Category: Nursing Authors: Luca Bertocchi Angelo Dante Carmen La Cerra Vittorio Masotta Alessia Marcotullio Valeria Caponnetto Fabio Ferraiuolo Dorothy Jones Loreto Lancia Cristina Petrucci Source Type: research

Evaluation of Nursing Documentation Completion of Stroke Patients in the Emergency Department: A Pre-Post Analysis Using Flowsheet Templates and Clinical Decision Support.
Abstract The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enhancements were introduced into the electronic record in an effort to improve nursing documentation: disease-specific documentation flowsheets and clinical decision support alerts. Using a pre-post design, project measures included six stroke management goals as d...
Source: Computers, Informatics, Nursing : CIN - December 16, 2015 Category: Nursing Authors: Richardson KJ, Sengstack P, Doucette JN, Hammond WE, Schertz M, Thompson J, Johnson C Tags: Comput Inform Nurs Source Type: research

Standardised care plans for in hospital stroke care improve documentation of health care assessments
ConclusionsAn evidence‐based standardised care plan in an electronic health record assists staff in improving documentation of health status assessments during the first days after a stroke diagnosis. Relevance to clinical practiceUse of a standardised care plan seems to have the potential to help staff adhere to evidence‐based patient care and, thereby, to increase patient safety.
Source: Journal of Clinical Nursing - July 14, 2015 Category: Nursing Authors: Ulrika Pöder, Marie Fogelberg Dahm, Nina Karlsson, Barbro Wadensten Tags: Original Article Source Type: research

Case Study: Community Nursing Care Plan for a Man With Functional and Psychosocial Problems Following a Stroke
ConclusionsPsychosocial problems complicate the management of a patient with functional consequences after a stroke. This fact has high impact on people who are going through this process.
Source: International Journal of Nursing Terminologies and Classifications - March 13, 2015 Category: Nursing Authors: Pedro Ruyman Brito‐Brito, Domingo Angel Fernandez‐Gutierrez, , Hilary M. Smith Tags: Original Article Source Type: research