As a guest user you are not logged in or recognized by your IP address. You have
access to the Front Matter, Abstracts, Author Index, Subject Index and the full
text of Open Access publications.
To perform a cross-mapping study between nursing documentation from a Electronic Health Record (EHR) of a Brazilian hospital and four nursing terminology systems.
Method:
Descriptive, quantitative and retrospective study.
Results:
The EHR presents a total of 247 anamnesis / physical examination terms, 75 nursing diagnoses, and 205 nursing interventions terms to nurses make their choice.
Conclusion:
Authors strongly recommend that attempts in building more usable and friendly EHRs for clĂnical care practice documentation consider classification systems structures in their development, to ensure complete, safe, evidence-based and comparable registries.
This website uses cookies
We use cookies to provide you with the best possible experience. They also allow us to analyze user behavior in order to constantly improve the website for you. Info about the privacy policy of IOS Press.
This website uses cookies
We use cookies to provide you with the best possible experience. They also allow us to analyze user behavior in order to constantly improve the website for you. Info about the privacy policy of IOS Press.