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Availability of Standardized Electronic Patient Data in Nursing: A Nationwide Survey of Austrian Acute Care Hospitals.
Stud Health Technol Inform. 2020 Jun 26; 272:233-236.SH

Abstract

A large amount of patient data is produced and documented in patient care. Health care professionals expect that this routinely collected patient data can also be used for secondary purposes such as measuring the quality of care or to gain new knowledge. Routine data needs to be documented in a standardized form, based on clinical terminologies, to allow this secondary use of data. In Austria, hospitals are currently moving from paper-based documentation to computer-based documentation, but parts of the documentation are still done in paper-based form or without using clinical terminologies, especially in nursing. This study aims to analyze the availability of standardized electronic patient data in nursing in Austria. We conducted an online survey of 32 senior nursing managers at 32 Austrian hospitals. The study showed that 79% of hospitals use electronic health records for nursing documentation, but only 29% of the nursing care plans are documented in a standardized way using standardized nursing classification systems such as NANDA-I.

Authors+Show Affiliations

UMIT - Private University for Health Sciences, Medical Informatics and Technology.UMIT - Private University for Health Sciences, Medical Informatics and Technology.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32604644

Citation

Nantschev, Renate, and Elske Ammenwerth. "Availability of Standardized Electronic Patient Data in Nursing: a Nationwide Survey of Austrian Acute Care Hospitals." Studies in Health Technology and Informatics, vol. 272, 2020, pp. 233-236.
Nantschev R, Ammenwerth E. Availability of Standardized Electronic Patient Data in Nursing: A Nationwide Survey of Austrian Acute Care Hospitals. Stud Health Technol Inform. 2020;272:233-236.
Nantschev, R., & Ammenwerth, E. (2020). Availability of Standardized Electronic Patient Data in Nursing: A Nationwide Survey of Austrian Acute Care Hospitals. Studies in Health Technology and Informatics, 272, 233-236. https://doi.org/10.3233/SHTI200537
Nantschev R, Ammenwerth E. Availability of Standardized Electronic Patient Data in Nursing: a Nationwide Survey of Austrian Acute Care Hospitals. Stud Health Technol Inform. 2020 Jun 26;272:233-236. PubMed PMID: 32604644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Availability of Standardized Electronic Patient Data in Nursing: A Nationwide Survey of Austrian Acute Care Hospitals. AU - Nantschev,Renate, AU - Ammenwerth,Elske, PY - 2020/7/2/entrez PY - 2020/7/2/pubmed PY - 2020/7/15/medline KW - Electronic health records KW - secondary use of clinical routine data KW - standardized nursing terminology SP - 233 EP - 236 JF - Studies in health technology and informatics JO - Stud Health Technol Inform VL - 272 N2 - A large amount of patient data is produced and documented in patient care. Health care professionals expect that this routinely collected patient data can also be used for secondary purposes such as measuring the quality of care or to gain new knowledge. Routine data needs to be documented in a standardized form, based on clinical terminologies, to allow this secondary use of data. In Austria, hospitals are currently moving from paper-based documentation to computer-based documentation, but parts of the documentation are still done in paper-based form or without using clinical terminologies, especially in nursing. This study aims to analyze the availability of standardized electronic patient data in nursing in Austria. We conducted an online survey of 32 senior nursing managers at 32 Austrian hospitals. The study showed that 79% of hospitals use electronic health records for nursing documentation, but only 29% of the nursing care plans are documented in a standardized way using standardized nursing classification systems such as NANDA-I. SN - 1879-8365 UR - https://www.unboundmedicine.com/medline/citation/32604644/Availability_of_Standardized_Electronic_Patient_Data_in_Nursing:_A_Nationwide_Survey_of_Austrian_Acute_Care_Hospitals L2 - https://doi.org/10.3233/SHTI200537 DB - PRIME DP - Unbound Medicine ER -