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Standardised electronic information exchange between nurses in home care and GPs - the medication information
Merete Lyngstad1, Line Melby, Ragnhild Hellesø
1University of Oslo, Faculty of Medicine, Institute of Health and Society, Oslo, Norway.
Abstract:
Improving the transfer of medication information between home care nurses and patient's general practitioners (GP) is assessed as essential for ensuring safe care. In this paper, we report on a Norwegian study in which we investigated how home care nurses experienced using standardised electronic messages in their communication with the GPs. Standardised electronic solutions were developed and implemented to resolve gaps in the medication information processes when patients received nursing care in their homes. Data was collected combining focus group interviews and individual interviews with nurses from home care in two municipalities in Norway. The data was analysed using systematic text condensation. We found that the nurses reported mostly advantages, but also some disadvantages regarding accuracy, consistency, availability and efficiency in the medication information process when they used standardised electronic messages. Efforts to refine the electronic messages to achieve better work processes and patient safety should be addressed.
Related Concept Videos
Nursing Clinical Information System
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:
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Methods of Documentation VII: EMR
Methods of Documentation III: PIE
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

