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Point of Care Solutions for Electronic Documentation of Nursing Practice
Virginia Saba1, Luann Whittenburg2, Kaija Saranto3
1Uniformed Services University, Bethesda, MD, USA.
Abstract:
The panel focuses on Point-of-Care (POC) solutions for the documentation of nursing practice in electronic health record (EHR) and/or healthcare information technology (HIT) systems using the Clinical Care Classification (CCC) System. The CCC System was developed by Dr. Saba and Colleagues for the electronic documentation of patient care by nurses and allied health professionals and has been approved by American Nurses Association and U.S. Department of Health and Human Services as an interoperable, standardized nursing terminology The unique POC solutions will be described by different nursing informaticians, designers, and implementers who will describe how they document patient care using the CCC System and their impact on care outcomes. Also the Nursing Informatics (NI) Experts will discuss the effects of POC solutions on care quality and safety, as well as highlight how the data analytics are used to measure and predict workload, staffing, and cost. They will also describe how the information is used to support evidence-based practice and advance nursing knowledge.
Learning Objectives:
1) Understand POC solutions using a standardized, coded, nursing terminology based on its Information Model for the e-documentation of nursing practice; 2) Describe the CCC System impacts on care quality, safety, and outcomes as well as measure workload, staffing, and cost. 3) Highlight how POC solutions'data analytics support evidenced-based practice and advance nursing science.
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