Designing and application of surgical nursing electronic medical records
10.3969/j.issn.1671-8283.2014.08.021
- VernacularTitle:外科护理电子病历的设计与应用
- Author:
Zhimin YUAN
;
Li JIANG
;
Hongtao OU
;
Lixing HUANG
;
Xiaocong SU
;
Ning ZHONG
- Publication Type:Journal Article
- Keywords:
computerized;
electronic medical records;
nursing records
- From:
Modern Clinical Nursing
2014;(8):76-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the methed of designing the surgical nursing electronic medical records and investigate the effect of application.Method According the nursing record form by Guangdong Provincial Clinical Nursing Writing Criterion (Specialty Version),we designed and completed the surgical nursing electronic medical records form.Result After implementation of the nursing electronic medical records,the mean time of measuring and inputting the patients’vital signs was(1.0±0.3)min and the mean time of finishing the nursing electronic medical records was 4.0±0.5 min.Conclusion Standardizing the form and content of nursing electronic medical records can improve the efficiency of routine work and the quality of nursing records.
