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Capability of using clinical care classification system to represent nursing practice in acute setting in taiwan
Rung-Chuang Feng1, Kuan-Jui Tseng, Hsiu-Fang Yan
1Institute of Biomedical Informatics, National Yang-Ming University, Taipei, Taiwan ; Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Abstract:
This study examines the capability of the Clinical Care Classification (CCC) system to represent nursing record data in a medical center in Taiwan. Nursing care records were analyzed using the process of knowledge discovery in data sets. The study data set included all the nursing care plan records from December 1998 to October 2008, totaling 2,060,214 care plan documentation entries. Results show that 75.42% of the documented diagnosis terms could be mapped using the CCC system. A total of 21 established nursing diagnoses were recommended to be added into the CCC system. Results show that one-third of the assessment and care tasks were provided by nursing professionals. This study shows that the CCC system is useful for identifying patterns in nursing practices and can be used to construct a nursing database in the acute setting.
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