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Developing a module for nursing documentation integrated in the electronic patient record
Author(s) -
Hellesø R.,
Ruland C. M.
Publication year - 2001
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2001.00557.x
Subject(s) - documentation , nursing documentation , nursing , patient record , patient care , norm (philosophy) , medicine , nursing process , nursing care , medical emergency , computer science , political science , law , programming language
• Norway’s regional teaching hospitals are working together on a project to develop an interdisciplinary electronic patient record (EPR). • This paper presents the results of a project to develop nursing documentation as part of an integrated EPR to improve the quality and continuity of patient care. • The project used a consensus process as a working norm. • The most important result is that the five hospitals have agreed on a framework for nursing documentation, and on the main components that need to be implemented in the electronic patient record.