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INFORMATIZATION OF NURSING DOCUMENTATION
BILJANA KURTOVIĆ
; Sestre milosrdnice University Hospital Center, Department of Neurosurgery, Zagreb, Croatia
CECILIJA GRGAS-BILE
; Sestre milosrdnice University Hospital Center, Department of Traumatology, Zagreb, Croatia
DANIJELA KUNDRATA
; Dr. Ivo Pedišić General Hospital, Department of Internal Medicine, Sisak, Croatia
Abstract
Electronic record in nursing is a set of all electronically stored data on a person in the field of health care. This set of data is written on the electronic media and properly organized. Various data, symbols, fields and corresponding records interconnected with the file as a set of records in some way constitute a database. Data entry in the field of health care is carried out from patient admis-sion, stay at the ward through periodical treatment as applicable, and, if necessary, applying appropriate professional nursing knowledge summarizing the nursing diagnosis as a basis for deciding on the objectives and procedures to be used. Complete electronic form will be associated with electronic records of other hospitals and health care institutions. All health professionals will be able to access nursing, medical and other health information in compliance with the high standards of data protection.
Keywords
information technology; electronic forms; nursing documentation
Hrčak ID:
117959
URI
Publication date:
19.3.2014.
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