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On-line journal of nursing informatics最新文献

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Developing Interventions for Overweight and Obese Children using Electronic Health Records Data. 利用电子健康记录数据为超重和肥胖儿童制定干预措施。
On-line journal of nursing informatics Pub Date : 2015-01-01 Epub Date: 2015-02-02
Jill Cochran, Adam Baus
{"title":"Developing Interventions for Overweight and Obese Children using Electronic Health Records Data.","authors":"Jill Cochran, Adam Baus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Childhood obesity and the resulting co-morbid conditions have become a massive burden for primary caregivers in West Virginia and across the United States. Building culturally sensitive clinical interventions to meet population health needs presents a multi-factorial challenge. Historically it has been is difficult to accurately assess the demographic characteristics of clinic populations. Fortunately, the use of electronic health records (EHR) has created a major shift in clinical documentation and ability to routinely collect essential demographic and clinical data. While data for Meaningful Use under the Centers for Medicare and Medicaid Services is increasingly used to evaluate clinical care and outcomes, use of EHR data outside of the Meaningful Use umbrella has not received sufficient attention. This study explores use of EHR data beyond Meaningful Use to obtain demographic characteristics of an obese and overweight pediatric population in a rural primary care center for the purpose of informing appropriate, locally relevant intervention strategies. We find that the breadth and depth of information recorded on each patient can collectively provide valuable information to describe and evaluate the clinic population, identify priority areas to address, and measure change over time. Application of EHR data to understand the demographic characteristics of this particular patient population highlights the ability to identify target patient populations, uncover critical patient-level and population-level outcomes, inform intervention development and implementation, and add value to efforts in quality improvement systems transformation. Use of EHR data outside of the Meaningful Use umbrella needs increased attention in primary care.</p>","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Heath Information Technology on the Quality of Patient Care. 卫生信息技术对病人护理质量的影响。
On-line journal of nursing informatics Pub Date : 2015-01-01 Epub Date: 2015-11-01
Amanda Hessels, Linda Flynn, Jeannie P Cimiotti, Suzanne Bakken, Robyn Gershon
{"title":"Impact of Heath Information Technology on the Quality of Patient Care.","authors":"Amanda Hessels, Linda Flynn, Jeannie P Cimiotti, Suzanne Bakken, Robyn Gershon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationships among Electronic Health Record (EHR) adoption and adverse outcomes and satisfaction in hospitalized patients.</p><p><strong>Materials and methods: </strong>This secondary analysis of cross sectional data was compiled from four sources: (1) State Inpatient Database from the Healthcare Cost Utilization Project; (2) Healthcare Information and Management Systems Society (HIMSS) Dorenfest Institute; (3) Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) and (4) New Jersey nurse survey data. The final analytic sample consisted of data on 854,258 adult patients discharged from 70 New Jersey hospitals in 2006 and 7,679 nurses working in those same hospitals. The analytic approach used ordinary least squares and multiple regression models to estimate the effects of EHR adoption stage on the delivery of nursing care and patient outcomes, controlling for characteristics of patients, nurses, and hospitals.</p><p><strong>Results: </strong>Advanced EHR adoption was independently associated with fewer patients with prolonged length of stay and seven-day readmissions. Advanced EHR adoption was not associated with patient satisfaction even when controlling for the strong relationships between better nursing practice environments, particularly staffing and resource adequacy, and missed nursing care and more patients reporting \"Top-Box,\" satisfaction ratings.</p><p><strong>Conclusions: </strong>This innovative study demonstrated that advanced stages of EHR adoption show some promise in improving important patient outcomes of prolonged length of stay and hospital readmissions. Strongly evident by the relationships among better nursing work environments, better quality nursing care, and patient satisfaction is the importance of supporting the fundamentals of quality nursing care as technology is integrated into practice.</p>","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"19 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001503/pdf/nihms773548.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34343050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Making nursing practice visible: At the brink of fulfilling the DREAM. 让护理实践可见:在实现梦想的边缘。
On-line journal of nursing informatics Pub Date : 2015-01-01
Yingwei Yao, Tamara Maciera, Gail Keenan
{"title":"Making nursing practice visible: At the brink of fulfilling the DREAM.","authors":"Yingwei Yao,&nbsp;Tamara Maciera,&nbsp;Gail Keenan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"19 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956088/pdf/nihms801702.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34602037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Big Data in Health Care: An Urgent Mandate to CHANGE Nursing EHRs! 医疗保健中的大数据:改变护理电子病历的紧急任务!
On-line journal of nursing informatics Pub Date : 2014-01-01 Epub Date: 2014-02-04
Gail M Keenan
{"title":"Big Data in Health Care: An Urgent Mandate to CHANGE Nursing EHRs!","authors":"Gail M Keenan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618496/pdf/nihms-592469.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34289671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Conversations about Optimal Design Column: Thorough Error Testing a Requirement for Strong EHR Usability. 关于优化设计专栏的关键对话:彻底的错误测试是强EHR可用性的要求。
On-line journal of nursing informatics Pub Date : 2014-01-01
Gail M Keenan, Karen Dunn Lopez
{"title":"Critical Conversations about Optimal Design Column: Thorough Error Testing a Requirement for Strong EHR Usability.","authors":"Gail M Keenan,&nbsp;Karen Dunn Lopez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"18 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957515/pdf/nihms801705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34602035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Purposeful Integration of an Academic Electronic Health Record across Nursing Curricula 跨护理课程的学术电子健康记录有目的的整合
On-line journal of nursing informatics Pub Date : 2009-01-01 DOI: 10.3233/978-1-60750-024-7-860
Sally Fauchald, Tessie Bushey, B. Donahue, Dianne Johnson, S. McMahon
{"title":"The Purposeful Integration of an Academic Electronic Health Record across Nursing Curricula","authors":"Sally Fauchald, Tessie Bushey, B. Donahue, Dianne Johnson, S. McMahon","doi":"10.3233/978-1-60750-024-7-860","DOIUrl":"https://doi.org/10.3233/978-1-60750-024-7-860","url":null,"abstract":"An object rendering system having a specialized algorithm is provided to convert a material and geometric description of an object to an X-Ray image of that object for use in medical applications and industrial non-destructive testing, thus to permit presentation of an object not the result of X-Ray in an X-Ray format. The system operates by considering that the object is composed of nested geometric solids, each defined by an enclosing surface, with the material property of each nested solid being defined in terms of an X-Ray mass-attenuation coefficient. Means for adjusting the mass attenuation coefficient of each of the enclosing surfaces is provided to permit each solid to be rendered independently.","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"12 3 1","pages":"860"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88015944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Study of Staffs Satisfaction and Documentation Completeness on using a Nursing Information System 护理信息系统使用中员工满意度及文件完整性的研究
On-line journal of nursing informatics Pub Date : 2009-01-01 DOI: 10.3233/978-1-60750-024-7-768
Minkyoung Chang, Ting‐Ting Lee, Kuan-Chia Lin, Wey-Wen Jiang, Juin-Shu Lin, Yanmay Chang, Shen-Yueh Tang
{"title":"A Study of Staffs Satisfaction and Documentation Completeness on using a Nursing Information System","authors":"Minkyoung Chang, Ting‐Ting Lee, Kuan-Chia Lin, Wey-Wen Jiang, Juin-Shu Lin, Yanmay Chang, Shen-Yueh Tang","doi":"10.3233/978-1-60750-024-7-768","DOIUrl":"https://doi.org/10.3233/978-1-60750-024-7-768","url":null,"abstract":"","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"12 1","pages":"768"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87425840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sociotechnical Analyis of a Neonatal ICU 新生儿ICU的社会技术分析
On-line journal of nursing informatics Pub Date : 2009-01-01 DOI: 10.3233/978-1-60750-024-7-258
L. Currie, B. Sheehan, Phillip L. Graham, P. Stetson, K. Cato, A. Wilcox
{"title":"Sociotechnical Analyis of a Neonatal ICU","authors":"L. Currie, B. Sheehan, Phillip L. Graham, P. Stetson, K. Cato, A. Wilcox","doi":"10.3233/978-1-60750-024-7-258","DOIUrl":"https://doi.org/10.3233/978-1-60750-024-7-258","url":null,"abstract":"","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"2016 1","pages":"258-262"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73302126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analyzing and Modeling of the Web-based Self Care Record System for Hypertension Patients - Focused on Blood Pressure and Drug Management 基于网络的高血压患者自我护理记录系统的分析与建模——以血压和药物管理为重点
On-line journal of nursing informatics Pub Date : 2009-01-01 DOI: 10.3233/978-1-60750-024-7-729
J. H. Jung, Kim Nam Hyun
{"title":"Analyzing and Modeling of the Web-based Self Care Record System for Hypertension Patients - Focused on Blood Pressure and Drug Management","authors":"J. H. Jung, Kim Nam Hyun","doi":"10.3233/978-1-60750-024-7-729","DOIUrl":"https://doi.org/10.3233/978-1-60750-024-7-729","url":null,"abstract":"This study reviews and analyzes three web-based self care record systems for hypertension patients that are selected by many Korean medical web sites suggesting the new web-based self care record system for hypertension patients. Also, this study can aim to increase the effectiveness of the web-based self-care record system focused on blood pressure and drug management for hypertension patients. Three web-sites (National Hypertension Center; http://www.hypertension.or.kr, Korea Hypertension Diabetes Deagu Institute; http://khyddi.cdc.go.kr, Health Korea http://www.healthkorea.net) were selected during the period from April 1 to April 7, 2008. This study represents the comparative analysis table of three web-based self care record systems for hypertension patients and the constructed system flow diagrams that were drew by MS Visio 2003.","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"894 1","pages":"729-730"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77456041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
From Vision to Implementation: The Illinois Rural Health Initiative (IRHI) 从愿景到实施:伊利诺伊州农村卫生倡议(IRHI)
On-line journal of nursing informatics Pub Date : 2009-01-01 DOI: 10.3233/978-1-60750-024-7-865
M. Kraft, Alan Kraus, Doug Power
{"title":"From Vision to Implementation: The Illinois Rural Health Initiative (IRHI)","authors":"M. Kraft, Alan Kraus, Doug Power","doi":"10.3233/978-1-60750-024-7-865","DOIUrl":"https://doi.org/10.3233/978-1-60750-024-7-865","url":null,"abstract":"A pedestal assembly for an EAS system comprises an antenna, an electronic assembly, and a support member having at least first and second recesses. The antenna is seated in the first recess and the electronic assembly is seated in the second recess. Bumpers are secured to opposed sides of the support member and a top cap member is applied to the assembled support member and bumpers. Upper ends of front and rear covers are inserted interiorly of the top cap member and thereby retentively circumscribed. Lower ends of the first and second covers are then secured to the support member to complete the pedestal assembly. Field service is facilitated in that all interior components of the pedestal assembly are accessible simply upon unsecuring the lower ends of the covers from the support member and downwardly sliding the covers from the top cap member. The support member comprises a two-layer plastic body, one layer of which defines the first and second recesses. The two-layer plastic body is preferably a thermoformed molded body.","PeriodicalId":91151,"journal":{"name":"On-line journal of nursing informatics","volume":"12 1","pages":"865"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74758593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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