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Related Experiment Videos

Successful interdisciplinary documentation through nursing interventions classification.

Kathleen Smith1, Vivienne Smith

  • 1University of Colorado Hospital, Box AO21-360, 4200 E Ninth Ave, Denver, CO 80262, USA.

Seminars for Nurse Managers
|July 3, 2002
PubMed
Summary
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Automated documentation systems and standardized language improve interdisciplinary care planning. Computerizing health records with systems like the Nursing Interventions Classification (NIC) enhances communication and clinical practice data collection.

Area of Science:

  • Health Informatics
  • Nursing Informatics
  • Clinical Communication

Background:

  • Effective interdisciplinary communication is crucial for dynamic patient care plans.
  • Standardized nomenclature facilitates a common language and framework for care communication.
  • Current systems can be enhanced to support data collection for best clinical practices.

Purpose of the Study:

  • To review efforts in improving interdisciplinary communication through computerized documentation.
  • To explore the application of the Nursing Interventions Classification (NIC) in automated systems.
  • To highlight the integration of care plans with clinical charting and outcome documentation.

Main Methods:

  • Review of existing literature and systems for automated health documentation.

Related Experiment Videos

  • Analysis of the role of standardized nursing nomenclature (NIC) in computerized systems.
  • Discussion of comprehensive patient care records linking care plans to outcomes.

    • Main Results:

    • Automated documentation systems facilitate the creation of dynamic, interdisciplinary care plans.
    • Standardized nomenclature (NIC) provides a common language, improving communication.
    • Computerized systems can link care plans to charting and outcome documentation, supporting data collection.

    Conclusions:

    • Computerizing documentation systems, particularly using the Nursing Interventions Classification (NIC), enhances interdisciplinary communication.
    • Integrated patient care records improve the link between care plans, charting, and documented outcomes.
    • These advancements support the determination of best clinical practices through robust data collection.