Quality assessment of medical record as a tool for clinical risk management: a three year experience of a teaching hospital Policlinico Umberto I, Rome [PDF]
, 2017 Introduction: The medical record was defined by the Italian Ministry of Health in 1992 as "the information tool designed to record all relevant demographic and clinical information on a patient during a single hospitalization episode".
Bontempi, Claudio +15 more
core +1 more source
Generative AI-Based Nursing Diagnosis and Documentation Recommendation Using Virtual Patient Electronic Nursing Record Data [PDF]
Healthcare Informatics ResearchObjectives Nursing documentation consumes approximately 30% of nurses’ professional time, making improvements in efficiency essential for patient safety and workflow optimization.
Hongshin Ju +6 more
doaj +1 more source
Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization [PDF]
, 2011 Objectives. To determine the impact of unit-level nurse staffing on quality of discharge teaching, patient perception of discharge readiness, and postdischarge readmission and emergency department (ED) visits, and cost-benefit of adjustments to unit ...
Bobay, Kathleen +2 more
core +2 more sources
Feasibility of the Omaha system for the care of children with dilated cardiomyopathy
Frontiers in Pediatrics, 2023 AimTo explore the feasibility of Omaha system theory in the care of children with dilated cardiomyopathy (DCM), which may provide a practical basis for the continuous nursing of DCM children.MethodsA total of 1,392 records describing symptoms, signs, and
Qin Zhang +7 more
doaj +1 more source
Enfermería: Cuidados Humanizados, 2015 Los registros de Enfermería forman parte de la labor asistencial que desarrollan los enfermeros durante la atención a las necesidades y cuidados de salud de la población.
Héctor Rosso
doaj +1 more source
Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
Revista Brasileira de Enfermagem, 2021 Objectives: to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care.
José Nildo de Barros Silva Júnior +6 more
doaj +2 more sources
A proposal of sensitive indicators of the rehabilitation nursing care of people in the surgical process, to be included in the ontology of aging [PDF]
, 2018 Given the complex surgical scenario observed today, it is necessary to change the urgent definition of a specific ontology, especially in terms of aging.
Carretas, N. +7 more
core +1 more source
Semina: Ciências Biológicas e da Saúde, 2021 Introduction: the classification systems with standardized languages are established in a set of structured knowledge, concepts founded in a logical and coherent way, based on their similarities.
Marina Prearo +2 more
doaj +1 more source
OCCURRENCE OF FAULT RECORDS OF NURSING CARE IN A HOSPITAL MEDICAL UNIT [PDF]
Revista Gestão & Saúde, 2013 The nursing records have value as a procedural document, source of inquiry and teaching tool. It is worth mentioning that, the records are actions performed through care processes, generating revenue for the institutions.The objective of this study was ...
Paula Bresolin, Fabiano De Faveri
doaj
Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos [PDF]
, 2018 Indexación: Scopus.Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units.
Andolhe, R. +4 more
core +3 more sources