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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

2012

Nursing

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Omaha System

Articles 1 - 2 of 2

Full-Text Articles in Medicine and Health Sciences

Selecting A Standardized Terminology For The Electronic Health Record That Reveals The Impact Of Nursing On Patient Care, Cynthia Lundberg, Judith Warren, Jane Brokel, Gloria Bulechek, Howard Butcher, Joanne Dochterman, Marion Johnson, Meridean Maas, Karen Martin, Sue Moorhead, Christine Spisla, Elizabeth Swanson, Sharon Giarrizzo-Wilson Mar 2012

Selecting A Standardized Terminology For The Electronic Health Record That Reveals The Impact Of Nursing On Patient Care, Cynthia Lundberg, Judith Warren, Jane Brokel, Gloria Bulechek, Howard Butcher, Joanne Dochterman, Marion Johnson, Meridean Maas, Karen Martin, Sue Moorhead, Christine Spisla, Elizabeth Swanson, Sharon Giarrizzo-Wilson

Elizabeth A. Swanson

Using standardized terminology within electronic health records is critical for nurses to communicate their impact on patient care to the multidisciplinary team. The universal requirement for quality patient care, internal control, efficiency and cost containment, has made it imperative to express nursing knowledge in a meaningful way that can be shared across disciplines and care settings. The documentation of nursing care, using an electronic health record, demonstrates the impact of nursing care on patient care and validates the significance of nursing practice. As key stakeholders of the American Nursing Association recognized terminologies, NANDA, NIC, NOC, Omaha System, PNDS, and SNOMED …


Selecting A Standardized Terminology For The Electronic Health Record That Reveals The Impact Of Nursing On Patient Care, Cynthia Lundberg, Judith Warren, Jane Brokel, Gloria Bulechek, Howard Butcher, Joanne Dochterman, Marion Johnson, Meridean Maas, Karen Martin, Sue Moorhead, Christine Spisla, Elizabeth Swanson, Sharon Giarrizzo-Wilson Mar 2012

Selecting A Standardized Terminology For The Electronic Health Record That Reveals The Impact Of Nursing On Patient Care, Cynthia Lundberg, Judith Warren, Jane Brokel, Gloria Bulechek, Howard Butcher, Joanne Dochterman, Marion Johnson, Meridean Maas, Karen Martin, Sue Moorhead, Christine Spisla, Elizabeth Swanson, Sharon Giarrizzo-Wilson

Howard K. Butcher

Using standardized terminology within electronic health records is critical for nurses to communicate their impact on patient care to the multidisciplinary team. The universal requirement for quality patient care, internal control, efficiency and cost containment, has made it imperative to express nursing knowledge in a meaningful way that can be shared across disciplines and care settings. The documentation of nursing care, using an electronic health record, demonstrates the impact of nursing care on patient care and validates the significance of nursing practice. As key stakeholders of the American Nursing Association recognized terminologies, NANDA, NIC, NOC, Omaha System, PNDS, and SNOMED …