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Nursing standards to support the electronic health record
Bonnie L Westra1, Connie White Delaney, Debra Konicek
1University of Minnesota School of Nursing, Minneapolis, MN 55455, USA. Westr006@umn.edu
Nursing Outlook
|October 17, 2008
Summary
Standardized nursing terminologies are crucial for high-quality, safe healthcare. They enable seamless health information exchange and the secondary use of electronic health record (EHR) data for knowledge development.
Area of Science:
- Health Informatics
- Nursing Informatics
- Healthcare Quality Improvement
Background:
- Continuity of person-centric healthcare information across the lifespan and settings is essential for quality, low-cost, mistake-free care.
- Interoperable clinical information systems and health information exchange (HIE) are key to supporting high-quality, safe patient care, especially for nurse-sensitive data.
- The widespread adoption of electronic health records (EHRs) and a National Health Information Network has been a long-standing goal.
Purpose of the Study:
- To synthesize the state-of-the-art in nursing standardized terminologies.
- To highlight their role in the development, exchange, and communication of nursing data.
- To explore research exemplars for information systems supporting nursing practice and the secondary use of nursing data.
Main Methods:
- Literature synthesis focusing on nursing standardized terminologies.
- Review of research exemplars demonstrating the application of these terminologies in information systems.
- Analysis of the secondary use of standardized nursing data from EHRs for knowledge development.
Main Results:
- Nursing standardized terminologies are vital for effective health information exchange and communication.
- Information systems utilizing standardized terminologies can enhance nursing practice.
- Standardized nursing data from EHRs offers significant potential for secondary use in knowledge development.
Conclusions:
- Standardized nursing terminologies are fundamental for achieving interoperable, person-centric healthcare.
- Their adoption and application are critical for advancing nursing informatics and improving patient outcomes.
- Leveraging standardized nursing data from EHRs can drive innovation and evidence-based practice in nursing.
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