Electronic Nursing Documentation: Patient Care Continuity Using the Clinical Care Classification System (CCC)

被引:5
|
作者
Whittenburg, Luann [1 ]
Meetim, Aunchisa [2 ]
机构
[1] Medicomp Syst, 14500 Avion Pkwy,Suite 175, Chantilly, VA 20151 USA
[2] Bumrungrad Int Hosp, Bangkok, Thailand
关键词
Continuity Care; Nursing Informatics; Electronic Documentation; Clinical Care Classification System; CCC;
D O I
10.3233/978-1-61499-658-3-13
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
An innovative nursing documentation project conducted at Bumrungrad International Hospital in Bangkok, Thailand demonstrated patient care continuity between nursing patient assessments and nursing Plans of Care using the Clinical Care Classification System (CCC). The project developed a new generation of interactive nursing Plans of Care using the six steps of the American Nurses Association (ANA) Nursing process and the MEDCIN (R) clinical knowledgebase to present CCC coded concepts as a natural by-product of a nurse's documentation process. The MEDCIN (R) clinical knowledgebase is a standardized point-of-care terminology intended for use in electronic health record systems. The CCC is an ANA recognized nursing terminology
引用
收藏
页码:13 / 17
页数:5
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