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Related Concept Videos

Nursing Clinical Information System01:27

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:
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Guidelines and Strategies for Safe Computer Charting01:18

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:
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...

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Related Experiment Video

Updated: May 30, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

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Published on: June 11, 2012

Neonatal Informatics: Computerized Physician Order Entry.

Jonathan P Palma1, Paul J Sharek, David C Classen

  • 1Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.

Neoreviews
|August 2, 2011
PubMed
Summary
This summary is machine-generated.

Computerized physician order entry (CPOE) enhances patient safety in electronic medical records (EMR). Implementation in neonatal intensive care units (NICUs) requires careful decisions for maximum quality and safety benefits.

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Area of Science:

  • Medical Informatics
  • Neonatal Medicine
  • Patient Safety

Background:

  • Computerized physician order entry (CPOE) is a key feature of electronic medical record (EMR) systems.
  • CPOE offers significant potential for improving healthcare quality and patient safety.
  • These benefits may be particularly pronounced in high-risk settings like neonatal intensive care units (NICUs).

Purpose of the Study:

  • To define the fundamental aspects of CPOE and clinical decision support (CDS) systems.
  • To describe the potential advantages of integrating CPOE with CDS within a NICU setting.

Main Methods:

  • This article focuses on defining CPOE and CDS systems.
  • It reviews the literature and expert consensus on CPOE implementation in NICUs.
  • The discussion emphasizes the impact of local implementation choices on outcomes.

Main Results:

  • CPOE, especially when integrated with CDS, can significantly enhance patient safety and care quality.
  • Specific benefits in NICUs include reduced medical errors and improved adherence to best practices.
  • Successful implementation hinges on tailored local strategies and system design.

Conclusions:

  • CPOE implementation, particularly with CDS, holds substantial promise for improving quality and safety in NICUs.
  • The realization of these benefits is contingent upon thoughtful and context-specific implementation decisions.
  • Further research and standardized best practices are needed to optimize CPOE in neonatal care.