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Promoting standardized nursing language using an electronic medical record system
Author(s) -
Doyle Marc
Publication year - 2006
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)60147-6
Subject(s) - electronic medical record , miami , perioperative nursing , medical record , nursing , set (abstract data type) , nursing records , patient safety , medicine , electronic health record , medical emergency , health care , medline , computer science , perioperative , environmental science , surgery , soil science , political science , law , economics , radiology , programming language , economic growth
• PAPER‐BASED MEDICAL RECORD systems are becoming obsolete with the advent of electronic medical record (EMR) systems. With EMRs, patient data can be accessed instantly, patients can be tracked intelligently, and safeguards can help prevent medical errors. • BY INTEGRATING a universal nursing language, such as the Perioperative Nursing Data Set (PNDS), into EMR systems, nurses can document the nursing care they give to patients. This allows nurses to show the value of their role in the OR, promote nursing, and explain how their actions help meet National Patient Safety Goals. • THE TRANSITION to an EMR system for Jackson Health System, Miami, is discussed, including integration of the PNDS into the EMR system. AORN J 83 (June 2006) 1336‐1342.