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Guidelines and Strategies for Safe Computer Charting

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:

Nursing Clinical Information System

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

Clinical Trials: Overview

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

Methods of Documentation V: CBE

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

Guidelines for Nursing Documentation I

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

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Related Experiment Video

Updated: Jul 3, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Computer-based execution of clinical guidelines: a review.

David Isern¹, Antonio Moreno

¹University Rovira i Virgili, Department of Computer Science and Mathematics, Intelligent Technologies for Advanced Knowledge Acquisition Research Group, iTAKA, Av Països Catalans, 26, 43007 Tarragona, Catalonia, Spain. david.isern@urv.cat

International Journal of Medical Informatics

|July 22, 2008

Summary

Automating clinical guideline execution is key for healthcare. This review compares eight systems, finding they are promising but not yet fully integrated into daily clinical practice.

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Last Updated: Jul 3, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Medical Informatics
Health Information Systems

Background:

Clinical guidelines standardize and improve healthcare delivery.
Automation of guideline execution is crucial for widespread adoption in medical centers.

Purpose of the Study:

To analyze and compare eight systems enabling semi-automatic clinical guideline enactment.
To evaluate the current state of automated clinical guideline execution systems.

Main Methods:

Literature review from 2000-2007 across medical databases and informatics conferences.
Selection and comparative analysis of eight guideline execution engine systems.

Main Results:

Comparison of guideline representation languages and system architectures.
Assessment of system integration, coordination mechanisms, security, and terminology.
Eight systems with guideline execution engines were identified and analyzed.

Conclusions:

Automated clinical guideline systems offer potential benefits for clinicians and patients.
These systems remain an active research area, lacking full implementation and integration into daily healthcare workflows.